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21D2290556 CLIA NUMBER - WALGREENS #19144

Laboratory Demographics

CLIA Number: 21D2290556

Facility Name: WALGREENS #19144

Facility Address:
2101 FALLSTON ROAD
FALLSTON, MD
ZIP 21047
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Facility Phone Number: 410 877-7849

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1184148009

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

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
CertificateType 4
CertificateEffectiveDate 9/27/2023
CertificateExpirationDate 9/26/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024