FDA UDI In Commercial Distribution 🇺🇸 United States

Well at Walgreens

DI: 00311917169835 · Model: 3056 · WALGREEN CO.
Product Codes
1
GMDN Terms
1
Identifiers
2
Pkg Device Count
2

Basic Information

Brand Name
Well at Walgreens
Primary DI
00311917169835
Version / Model
3056
Catalog Number
3056
Company Name
WALGREEN CO.
Labeler DUNS
008965063
Distribution Status
In Commercial Distribution
Device Count in Pkg
2
Record Status
Published
Publish Date
2016-08-15
Public Version
3
Public Version Date
2018-07-06
Public Version Status
Update
Public Device Record Key
3242203b-2f5f-44f8-9f72-9b996a1d7937

Device Description

The Walgreens At-Home A1C Test Kit provides quantitative measurement of the percent of glycated hemoglobin (%HbA1C or %A1C) levels in human whole blood samples.

Device Characteristics

Single Use
Yes
Prescription Use (Rx)
No
Over the Counter (OTC)
Yes
Kit
Yes
Combination Product
No
HCT/P
No
Contains NRL
No
Not Made with NRL
No
MRI Safety
Labeling does not contain MRI Safety Information
Direct Marking Exempt
No
PM Exempt
No
Has Serial Number
No
Has Lot/Batch Number
Yes
Has Manufacturing Date
No
Has Expiration Date
Yes
Has Donation ID
No

Sterilization

Is Sterile
No
Sterilization Prior Use
No

Product Codes

Code Name
LCP Assay, Glycosylated Hemoglobin

GMDN Terms

Code Name
62205 Glycated haemoglobin (HbA1c) monitoring system IVD, home-use

Identifiers

Type ID
Primary 00311917169835
Unit of Use 10311917169832

Customer Contacts

Premarket Submissions

Submission Number Supplement Number
K090413 000

Storage Conditions

Type
Storage Environment Temperature
Temperature Range
18 – 25 Degrees Celsius
Type
Special Storage Condition, Specify
Special Conditions
Avoid running test on hot or cold surfaces or near sources of hot or cold.
Type
Special Storage Condition, Specify
Special Conditions
If test has recently been at temperatures above 77 degrees F / 25 C, or below 64 F / 18 C, allow all kit parts to come to room temperature (64-77 F / 18 -25 C) for at least one hour before testing.
Type
Special Storage Condition, Specify
Special Conditions
Use at room temperature and out of direct sunlight. If you cannot confidently store the kit under these recommended conditions, you have the option of refrigerating the kit (do not freeze).
Type
Special Storage Condition, Specify
Special Conditions
Do not use if dot is red or if the product is past the expiration date.
Type
Storage Environment Temperature
Temperature Range
64 – 77 Degrees Fahrenheit