41D2224476 CLIA NUMBER - WALGREENS #03468

Laboratory Demographics

  • CLIA Code: 41D2224476
  • Facility Name: WALGREENS #03468
  • Facility Address: 100 BROAD ST
    PAWTUCKET, RI
    ZIP 02860
  • Facility Phone: 401 724-6724
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: VICTORIA A. HUDSON
  • NPI Number: 1891062329
  • Taxonomy: 183500000X - Pharmacist

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CLIA Record

Field Name Field Value
CLIA Number 41D2224476
LAB Type Pharmacy
Facility Name WALGREENS #03468
Street 100 BROAD ST
City PAWTUCKET
State RI
ZIP 02860
Phone 401 724-6724
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 VICTORIA A. HUDSON

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