21D2293325 CLIA NUMBER - WALGREENS #09028

Laboratory Demographics

  • CLIA Code: 21D2293325
  • Facility Name: WALGREENS #09028
  • Facility Address: 6700 RITCHIE HWY
    GLEN BURNIE, MD
    ZIP 21061
  • Facility Phone: 443 848-0245
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ABIMBOLA OGUNSEMOWO
  • NPI Number: 1134136211
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 21D2293325
LAB Type Pharmacy
Facility Name WALGREENS #09028
Street 6700 RITCHIE HWY
City GLEN BURNIE
State MD
ZIP 21061
Phone 443 848-0245
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/7/2023
Certificate Expiration Date 11/6/2025
Facility Type Pharmacy
Lab Director ABIMBOLA OGUNSEMOWO

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