21D2290993 CLIA NUMBER - WALGREENS #17522

Laboratory Demographics

  • CLIA Code: 21D2290993
  • Facility Name: WALGREENS #17522
  • Facility Address: 238 MCMECHEN STREET
    BALTIMORE, MD
    ZIP 21217
  • Facility Phone: (410) 523-4704
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NEIL A. PATEL
  • NPI Number: 1063268787
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 21D2290993
LAB Type Pharmacy
Facility Name WALGREENS #17522
Street 238 MCMECHEN STREET
City BALTIMORE
State MD
ZIP 21217
Phone 4105234704
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/4/2025
Certificate Expiration Date 10/3/2027
Facility Type Pharmacy
Lab Director NEIL A. PATEL

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This page was last updated on: 5/18/2026