41D2287656 CLIA NUMBER - WALGREENS 13987

Laboratory Demographics

  • CLIA Code: 41D2287656
  • Facility Name: WALGREENS 13987
  • Facility Address: 385 COTTAGE ST
    PAWTUCKET, RI
    ZIP 02861
  • Facility Phone: 401 727-4407
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RONIKA P. NAIR
  • NPI Number: 1104831270
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 41D2287656
LAB Type Pharmacy
Facility Name WALGREENS 13987
Street 385 COTTAGE ST
City PAWTUCKET
State RI
ZIP 02861
Phone 401 727-4407
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/16/2025
Certificate Expiration Date 8/15/2027
Facility Type Pharmacy
Lab Director RONIKA P. NAIR

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