41D2289881 CLIA NUMBER - WALGREENS 19165

Laboratory Demographics

  • CLIA Code: 41D2289881
  • Facility Name: WALGREENS 19165
  • Facility Address: 900 VICTORY HIGHWAY #21
    NORTH SMITHFIELD, RI
    ZIP 02896
  • Facility Phone: 401 762-9811
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JEANA L. DEPAMPHILIS
  • NPI Number: 1346763141
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 41D2289881
LAB Type Pharmacy
Facility Name WALGREENS 19165
Street 900 VICTORY HIGHWAY #21
City NORTH SMITHFIELD
State RI
ZIP 02896
Phone 401 762-9811
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/18/2025
Certificate Expiration Date 9/17/2027
Facility Type Pharmacy
Lab Director JEANA L. DEPAMPHILIS

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