21D2292844 CLIA NUMBER - WALGREENS #17966

Laboratory Demographics

  • CLIA Code: 21D2292844
  • Facility Name: WALGREENS #17966
  • Facility Address: 7270 MONTGOMERY RD
    ELKRIDGE, MD
    ZIP 21075
  • Facility Phone: (410) 796-3344
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RACHANA S. BHALODIA
  • NPI Number: 1215451182
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 21D2292844
LAB Type Pharmacy
Facility Name WALGREENS #17966
Street 7270 MONTGOMERY RD
City ELKRIDGE
State MD
ZIP 21075
Phone 4107963344
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/31/2025
Certificate Expiration Date 10/30/2027
Facility Type Pharmacy
Lab Director RACHANA S. BHALODIA

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