21D2291022 CLIA NUMBER - WALGREENS #18052

Laboratory Demographics

  • CLIA Code: 21D2291022
  • Facility Name: WALGREENS #18052
  • Facility Address: 92 SOUDER ROAD
    BRUNSWICK, MD
    ZIP 21716
  • Facility Phone: 301 834-8100
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NURA NELSON
  • NPI Number: 1346765815
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 21D2291022
LAB Type Pharmacy
Facility Name WALGREENS #18052
Street 92 SOUDER ROAD
City BRUNSWICK
State MD
ZIP 21716
Phone 301 834-8100
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 NURA NELSON

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