41D2233684 CLIA NUMBER - WALGREENS #03737

Laboratory Demographics

  • CLIA Code: 41D2233684
  • Facility Name: WALGREENS #03737
  • Facility Address: 1074 MINERAL SPRINT AVE
    NORTH PROVIDENCE, RI
    ZIP 02904
  • Facility Phone: 401 725-6824
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KATHERINE E. GREGG
  • NPI Number: 1023531969
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 41D2233684
LAB Type Pharmacy
Facility Name WALGREENS #03737
Street 1074 MINERAL SPRINT AVE
City NORTH PROVIDENCE
State RI
ZIP 02904
Phone 401 725-6824
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/25/2025
Certificate Expiration Date 8/24/2027
Facility Type Pharmacy
Lab Director KATHERINE E. GREGG

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