21D2311520 CLIA NUMBER - WALGREENS #11999

Laboratory Demographics

  • CLIA Code: 21D2311520
  • Facility Name: WALGREENS #11999
  • Facility Address: 1927 EMMORTON RD
    BEL AIR, MD
    ZIP 21015
  • Facility Phone: 410 838-8573
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NICOLE FREEMAN
  • NPI Number: 1669227450
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 21D2311520
LAB Type Pharmacy
Facility Name WALGREENS #11999
Street 1927 EMMORTON RD
City BEL AIR
State MD
ZIP 21015
Phone 410 838-8573
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/24/2024
Certificate Expiration Date 9/23/2026
Facility Type Pharmacy
Lab Director NICOLE FREEMAN

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