21D2291024 CLIA NUMBER - WALGREENS #19313

Laboratory Demographics

  • CLIA Code: 21D2291024
  • Facility Name: WALGREENS #19313
  • Facility Address: 609 TAYLOR RD
    ANNAPOLIS, MD
    ZIP 21401
  • Facility Phone: 410 268-5007
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ROBBIE JEAN HARTWELL
  • NPI Number: 1144744830
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 21D2291024
LAB Type Pharmacy
Facility Name WALGREENS #19313
Street 609 TAYLOR RD
City ANNAPOLIS
State MD
ZIP 21401
Phone 410 268-5007
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 ROBBIE JEAN HARTWELL

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