21D2258139 CLIA NUMBER - WALGREENS #19451

Laboratory Demographics

  • CLIA Code: 21D2258139
  • Facility Name: WALGREENS #19451
  • Facility Address: 21 DENTON PLZ
    DENTON, MD
    ZIP 21629
  • Facility Phone: 410 479-1771
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: QASIM N. RANA
  • NPI Number: 1821512773
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 21D2258139
LAB Type Pharmacy
Facility Name WALGREENS #19451
Street 21 DENTON PLZ
City DENTON
State MD
ZIP 21629
Phone 410 479-1771
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/18/2024
Certificate Expiration Date 4/17/2026
Facility Type Pharmacy
Lab Director QASIM N. RANA

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This page was last updated on: 9/29/2025