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21D2290996 CLIA NUMBER - WALGREENS #19987

Laboratory Demographics

CLIA Number: 21D2290996

Facility Name: WALGREENS #19987

Facility Address:
3446 LAYTONSVILLE RD
OLNEY, MD
ZIP 20832
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Facility Phone Number: 301 260-0469

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1619492873

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 21D2290996
LAB Type Pharmacy
Facility Name WALGREENS #19987
Street 3446 LAYTONSVILLE RD
City OLNEY
State MD
ZIP 20832
Phone 301 260-0469
CertificateType 4
CertificateEffectiveDate 10/4/2023
CertificateExpirationDate 10/3/2025
FacilityType Waiver

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