21D2291012 CLIA NUMBER - WALGREENS #18082

Laboratory Demographics

  • CLIA Code: 21D2291012
  • Facility Name: WALGREENS #18082
  • Facility Address: 6401 FREDERICK RD
    CATONSVILLE, MD
    ZIP 21228
  • Facility Phone: (410) 719-7005
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANUOLUWAPO OLOFINLUA
  • NPI Number: 1831945591
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 21D2291012
LAB Type Pharmacy
Facility Name WALGREENS #18082
Street 6401 FREDERICK RD
City CATONSVILLE
State MD
ZIP 21228
Phone 4107197005
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 ANUOLUWAPO OLOFINLUA

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