08D0971606 CLIA NUMBER - WALGREENS # 11005

Laboratory Demographics

  • CLIA Code: 08D0971606
  • Facility Name: WALGREENS # 11005
  • Facility Address: 1323 MCKENNANS CHURCH ROAD
    WILMINGTON, DE
    ZIP 19808
  • Facility Phone: 302 999-0515
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DAVID A. FREED
  • NPI Number: 1669498259
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 08D0971606
LAB Type Pharmacy
Facility Name WALGREENS # 11005
Street 1323 MCKENNANS CHURCH ROAD
City WILMINGTON
State DE
ZIP 19808
Phone 302 999-0515
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/6/2025
Certificate Expiration Date 9/5/2027
Facility Type Pharmacy
Lab Director DAVID A. FREED

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