41D2222434 CLIA NUMBER - WALGREENS #19399

Laboratory Demographics

  • CLIA Code: 41D2222434
  • Facility Name: WALGREENS #19399
  • Facility Address: 21 KINGSTOWN RD
    RICHMOND, RI
    ZIP 02898
  • Facility Phone: 401 539-6001
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KASSIA OBRIEN
  • NPI Number: 1427571280
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 41D2222434
LAB Type Pharmacy
Facility Name WALGREENS #19399
Street 21 KINGSTOWN RD
City RICHMOND
State RI
ZIP 02898
Phone 401 539-6001
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/29/2025
Certificate Expiration Date 4/28/2027
Facility Type Pharmacy
Lab Director KASSIA OBRIEN

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