Healther Providers Data Logo

41D2230822 CLIA NUMBER - WALGREENS #03703

Laboratory Demographics

CLIA Number: 41D2230822

Facility Name: WALGREENS #03703

Facility Address:
354 ADMIRAL ST
PROVIDENCE, RI
ZIP 02908
Get Directions

Facility Phone Number: 401 331-2635

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1407379266

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name Field Value
CLIA Number 41D2230822
LAB Type Pharmacy
Facility Name WALGREENS #03703
Street 354 ADMIRAL ST
City PROVIDENCE
State RI
ZIP 02908
Phone 401 331-2635
CertificateType 4
CertificateEffectiveDate 7/28/2023
CertificateExpirationDate 7/27/2025
FacilityType Waiver

Download Record

Download this CLIA NUMBER record in Text format: Export

Download this CLIA NUMBER record in Excel (CSV) format: Export

Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024