41D2232244 CLIA NUMBER - WALGREENS #03204

Laboratory Demographics

  • CLIA Code: 41D2232244
  • Facility Name: WALGREENS #03204
  • Facility Address: 295 ACADEMY AVE
    PROVIDENCE, RI
    ZIP 02908
  • Facility Phone: 401 273-7675
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KATIE MORALES
  • NPI Number: 1407379266
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 41D2232244
LAB Type Pharmacy
Facility Name WALGREENS #03204
Street 295 ACADEMY AVE
City PROVIDENCE
State RI
ZIP 02908
Phone 401 273-7675
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/11/2025
Certificate Expiration Date 8/10/2027
Facility Type Pharmacy
Lab Director KATIE MORALES

Download Record

Download this CLIA record record in Text format: Export

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

Download this CLIA record record in XML format: Export

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