21D2293382 CLIA NUMBER - WALGREENS #19492

Laboratory Demographics

  • CLIA Code: 21D2293382
  • Facility Name: WALGREENS #19492
  • Facility Address: 9530 CRAIN HWY
    UPPER MARLBORO, MD
    ZIP 20772
  • Facility Phone: 301 868-0303
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JESSICA P. MARCELIN
  • NPI Number: 1932624186
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 21D2293382
LAB Type Pharmacy
Facility Name WALGREENS #19492
Street 9530 CRAIN HWY
City UPPER MARLBORO
State MD
ZIP 20772
Phone 301 868-0303
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 JESSICA P. MARCELIN

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