08D0971614 CLIA NUMBER - WALGREENS #11016

Laboratory Demographics

  • CLIA Code: 08D0971614
  • Facility Name: WALGREENS #11016
  • Facility Address: 30182 SUSSEX HWY
    LAUREL, DE
    ZIP 19956
  • Facility Phone: 302 875-8560
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MELODY P. HAAG
  • NPI Number: 1609896513
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 08D0971614
LAB Type Pharmacy
Facility Name WALGREENS #11016
Street 30182 SUSSEX HWY
City LAUREL
State DE
ZIP 19956
Phone 302 875-8560
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/22/2025
Certificate Expiration Date 4/21/2027
Facility Type Pharmacy
Lab Director MELODY P. HAAG

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