41D2291031 CLIA NUMBER - WALGREENS 02850

Laboratory Demographics

  • CLIA Code: 41D2291031
  • Facility Name: WALGREENS 02850
  • Facility Address: 1010 PARK AVE
    CRANSTON, RI
    ZIP 02910
  • Facility Phone: 401 946-0337
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANTHONY J. TRASK
  • NPI Number: 1740295815
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 41D2291031
LAB Type Pharmacy
Facility Name WALGREENS 02850
Street 1010 PARK AVE
City CRANSTON
State RI
ZIP 02910
Phone 401 946-0337
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/4/2023
Certificate Expiration Date 10/3/2025
Facility Type Pharmacy
Lab Director ANTHONY J. TRASK

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