21D2290996 CLIA NUMBER - WALGREENS #19987

Laboratory Demographics

  • CLIA Code: 21D2290996
  • Facility Name: WALGREENS #19987
  • Facility Address: 3446 LAYTONSVILLE RD
    OLNEY, MD
    ZIP 20832
  • Facility Phone: 301 260-0469
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JUDITH KIM
  • NPI Number: 1619492873
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 21D2290996
LAB Type Pharmacy
Facility Name WALGREENS #19987
Street 3446 LAYTONSVILLE RD
City OLNEY
State MD
ZIP 20832
Phone 301 260-0469
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 JUDITH KIM

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