41D2187363 CLIA NUMBER - WALGREENS #04145

Laboratory Demographics

  • CLIA Code: 41D2187363
  • Facility Name: WALGREENS #04145
  • Facility Address: 533 ELMWOOD AVE
    PROVIDENCE, RI
    ZIP 02907
  • Facility Phone: 847 527-4238
  • Facility Type: Other - COVID - 19 TEST SITE
  • Facility Type: Waiver
  • Lab Director: RENEE E. ABJORNSON
  • NPI Number: 1750804696
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 41D2187363
LAB Type Other - COVID - 19 TEST SITE
Facility Name WALGREENS #04145
Street 533 ELMWOOD AVE
City PROVIDENCE
State RI
ZIP 02907
Phone 847 527-4238
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/1/2024
Certificate Expiration Date 6/30/2026
Facility Type Other - COVID - 19 TEST SITE
Lab Director RENEE E. ABJORNSON

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