21D2290556 CLIA NUMBER - WALGREENS #19144

Laboratory Demographics

  • CLIA Code: 21D2290556
  • Facility Name: WALGREENS #19144
  • Facility Address: 2101 FALLSTON ROAD
    FALLSTON, MD
    ZIP 21047
  • Facility Phone: 410 877-7849
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KIMBERLIE LITTLE
  • NPI Number: 1184148009
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 21D2290556
LAB Type Pharmacy
Facility Name WALGREENS #19144
Street 2101 FALLSTON ROAD
City FALLSTON
State MD
ZIP 21047
Phone 410 877-7849
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/27/2025
Certificate Expiration Date 9/26/2027
Facility Type Pharmacy
Lab Director KIMBERLIE LITTLE

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