41D2224420 CLIA NUMBER - WALGREENS #03345

Laboratory Demographics

  • CLIA Code: 41D2224420
  • Facility Name: WALGREENS #03345
  • Facility Address: 2399 WARWICK AVE
    WARWICK, RI
    ZIP 02889
  • Facility Phone: 401 737-5810
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JAMES R. DERDERIAN
  • NPI Number: 1588187421
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 41D2224420
LAB Type Pharmacy
Facility Name WALGREENS #03345
Street 2399 WARWICK AVE
City WARWICK
State RI
ZIP 02889
Phone 401 737-5810
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/13/2025
Certificate Expiration Date 5/12/2027
Facility Type Pharmacy
Lab Director JAMES R. DERDERIAN

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