21D2293373 CLIA NUMBER - WALGREENS #18015

Laboratory Demographics

  • CLIA Code: 21D2293373
  • Facility Name: WALGREENS #18015
  • Facility Address: 4733 WESTLAND BLVD
    ARBUTUS, MD
    ZIP 21227
  • Facility Phone: 410 247-2614
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: OJEWALE O. OLUFOLAKEMI
  • NPI Number: 1447775184
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 21D2293373
LAB Type Pharmacy
Facility Name WALGREENS #18015
Street 4733 WESTLAND BLVD
City ARBUTUS
State MD
ZIP 21227
Phone 410 247-2614
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/8/2023
Certificate Expiration Date 11/7/2025
Facility Type Pharmacy
Lab Director OJEWALE O. OLUFOLAKEMI

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This page was last updated on: 6/4/2025