21D2290551 CLIA NUMBER - WALGREENS #19141

Laboratory Demographics

  • CLIA Code: 21D2290551
  • Facility Name: WALGREENS #19141
  • Facility Address: 537 JERMOR LANE
    WESTMINSTER, MD
    ZIP 21157
  • Facility Phone: 410 848-0212
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SUSAN TESSIER
  • NPI Number: 1902320823
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 21D2290551
LAB Type Pharmacy
Facility Name WALGREENS #19141
Street 537 JERMOR LANE
City WESTMINSTER
State MD
ZIP 21157
Phone 410 848-0212
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/27/2023
Certificate Expiration Date 9/26/2025
Facility Type Pharmacy
Lab Director SUSAN TESSIER

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This page was last updated on: 3/20/2025