41D2230974 CLIA NUMBER - WALGREENS #03719

Laboratory Demographics

  • CLIA Code: 41D2230974
  • Facility Name: WALGREENS #03719
  • Facility Address: 25 PUTNAM PIKE
    JOHNSTON, RI
    ZIP 02919
  • Facility Phone: 401 231-6561
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MELANIE R. GASPAR
  • NPI Number: 1194248039
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 41D2230974
LAB Type Pharmacy
Facility Name WALGREENS #03719
Street 25 PUTNAM PIKE
City JOHNSTON
State RI
ZIP 02919
Phone 401 231-6561
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/29/2025
Certificate Expiration Date 7/28/2027
Facility Type Pharmacy
Lab Director MELANIE R. GASPAR

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