21D2291019 CLIA NUMBER - WALGREENS #19966

Laboratory Demographics

CLIA Number: 21D2291019

Facility Name: WALGREENS #19966

Facility Address:
19927 CENTURY BLVD
GERMANTOWN, MD
ZIP 20874
Get Directions

Facility Phone Number: 301 972-4861

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1629593884

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	21D2291019
LAB Type	Pharmacy
Facility Name	WALGREENS #19966
Street	19927 CENTURY BLVD
City	GERMANTOWN
State	MD
ZIP	20874
Phone	301 972-4861
CertificateType	4
CertificateEffectiveDate	10/4/2023
CertificateExpirationDate	10/3/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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