21D2293381 CLIA NUMBER - WALGREENS #18951

Laboratory Demographics

  • CLIA Code: 21D2293381
  • Facility Name: WALGREENS #18951
  • Facility Address: 2633 BRANDERMILL BLVD
    GAMBRILLS, MD
    ZIP 21054
  • Facility Phone: 410 451-9448
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANNE O. SUTTON
  • NPI Number: 1689198509
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 21D2293381
LAB Type Pharmacy
Facility Name WALGREENS #18951
Street 2633 BRANDERMILL BLVD
City GAMBRILLS
State MD
ZIP 21054
Phone 410 451-9448
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/8/2023
Certificate Expiration Date 11/7/2025
Facility Type Pharmacy
Lab Director ANNE O. SUTTON

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This page was last updated on: 6/4/2025