41D2230784 CLIA NUMBER - WALGREENS #03491

Laboratory Demographics

  • CLIA Code: 41D2230784
  • Facility Name: WALGREENS #03491
  • Facility Address: 1763 BROAD ST
    CRANSTON, RI
    ZIP 02905
  • Facility Phone: 401 461-6770
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: EILEEN A. LAWLER
  • NPI Number: 1558794685
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 41D2230784
LAB Type Pharmacy
Facility Name WALGREENS #03491
Street 1763 BROAD ST
City CRANSTON
State RI
ZIP 02905
Phone 401 461-6770
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/28/2025
Certificate Expiration Date 7/27/2027
Facility Type Pharmacy
Lab Director EILEEN A. LAWLER

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