08D1041242 CLIA NUMBER - WALGREEN'S 11051 WALGREENS # 11051

Laboratory Demographics

  • CLIA Code: 08D1041242
  • Facility Name: WALGREEN'S 11051 WALGREENS # 11051
  • Facility Address: 536 MAIN STREET
    WILMINGTON, DE
    ZIP 19804
  • Facility Phone: 302 633-0569
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: VINCENT N. MADALINE
  • NPI Number: 1275553190
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 08D1041242
LAB Type Pharmacy
Facility Name WALGREEN'S 11051 WALGREENS # 11051
Street 536 MAIN STREET
City WILMINGTON
State DE
ZIP 19804
Phone 302 633-0569
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/18/2024
Certificate Expiration Date 6/17/2026
Facility Type Pharmacy
Lab Director VINCENT N. MADALINE

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