08D0971609 CLIA NUMBER - WALGREENS #11025

Laboratory Demographics

  • CLIA Code: 08D0971609
  • Facility Name: WALGREENS #11025
  • Facility Address: 4011 KENNETT PIKE
    GREENVILLE, DE
    ZIP 19807
  • Facility Phone: 302 427-5650
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PHILIP D. ANDERSON
  • NPI Number: 1801816731
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 08D0971609
LAB Type Pharmacy
Facility Name WALGREENS #11025
Street 4011 KENNETT PIKE
City GREENVILLE
State DE
ZIP 19807
Phone 302 427-5650
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/30/2025
Certificate Expiration Date 8/29/2027
Facility Type Pharmacy
Lab Director PHILIP D. ANDERSON

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