08D1041246 CLIA NUMBER - WALGREENS # 11050

Laboratory Demographics

  • CLIA Code: 08D1041246
  • Facility Name: WALGREENS # 11050
  • Facility Address: 500 PLAZA DRIVE
    NEWARK, DE
    ZIP 19702
  • Facility Phone: 302 631-1900
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MARK EISELE
  • NPI Number: 1255355566
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 08D1041246
LAB Type Pharmacy
Facility Name WALGREENS # 11050
Street 500 PLAZA DRIVE
City NEWARK
State DE
ZIP 19702
Phone 302 631-1900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/30/2023
Certificate Expiration Date 8/29/2025
Facility Type Pharmacy
Lab Director MARK EISELE

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