21D2291016 CLIA NUMBER - WALGREENS #19212

Laboratory Demographics

  • CLIA Code: 21D2291016
  • Facility Name: WALGREENS #19212
  • Facility Address: 23 WEST TIMONIUM ROAD
    LUTHERVILLE, MD
    ZIP 21093
  • Facility Phone: 410 252-5691
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ALEXANDRA MACLEOD
  • NPI Number: 1780108480
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 21D2291016
LAB Type Pharmacy
Facility Name WALGREENS #19212
Street 23 WEST TIMONIUM ROAD
City LUTHERVILLE
State MD
ZIP 21093
Phone 410 252-5691
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 ALEXANDRA MACLEOD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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