41D2289308 CLIA NUMBER - WALGREENS #18378

Laboratory Demographics

  • CLIA Code: 41D2289308
  • Facility Name: WALGREENS #18378
  • Facility Address: 1086 WILLETT AVENUE
    RIVERSIDE, RI
    ZIP 02915
  • Facility Phone: 401 433-5710
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MAEGEN RIX
  • NPI Number: 1114440054
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 41D2289308
LAB Type Pharmacy
Facility Name WALGREENS #18378
Street 1086 WILLETT AVENUE
City RIVERSIDE
State RI
ZIP 02915
Phone 401 433-5710
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/8/2025
Certificate Expiration Date 9/7/2027
Facility Type Pharmacy
Lab Director MAEGEN RIX

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