21D2293378 CLIA NUMBER - WALGREENS #19339

Laboratory Demographics

  • CLIA Code: 21D2293378
  • Facility Name: WALGREENS #19339
  • Facility Address: 13870 GEORGIA AVENUE
    SILVER SPRING, MD
    ZIP 20906
  • Facility Phone: (301) 871-6400
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: EYOB B. WOLDETNSAE
  • NPI Number: 1760238331
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 21D2293378
LAB Type Pharmacy
Facility Name WALGREENS #19339
Street 13870 GEORGIA AVENUE
City SILVER SPRING
State MD
ZIP 20906
Phone 3018716400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/8/2025
Certificate Expiration Date 11/7/2027
Facility Type Pharmacy
Lab Director EYOB B. WOLDETNSAE

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