21D2290997 CLIA NUMBER - WALGREENS #19368

Laboratory Demographics

  • CLIA Code: 21D2290997
  • Facility Name: WALGREENS #19368
  • Facility Address: 12222 VEIRS MILL ROAD
    SILVER SPRING, MD
    ZIP 20906
  • Facility Phone: 301 949-6212
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: FITSUM GUANGUL
  • NPI Number: 1356867022
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 21D2290997
LAB Type Pharmacy
Facility Name WALGREENS #19368
Street 12222 VEIRS MILL ROAD
City SILVER SPRING
State MD
ZIP 20906
Phone 301 949-6212
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/4/2023
Certificate Expiration Date 10/3/2025
Facility Type Pharmacy
Lab Director FITSUM GUANGUL

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