08D2011874 CLIA NUMBER - WALGREENS # 11069

Laboratory Demographics

  • CLIA Code: 08D2011874
  • Facility Name: WALGREENS # 11069
  • Facility Address: 1710 FAULKLAND RD
    WILMINGTON, DE
    ZIP 19805
  • Facility Phone: (302) 994-1971
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DIVYA R. JOSEPH
  • NPI Number: 1902820129
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 08D2011874
LAB Type Pharmacy
Facility Name WALGREENS # 11069
Street 1710 FAULKLAND RD
City WILMINGTON
State DE
ZIP 19805
Phone 3029941971
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2025
Certificate Expiration Date 8/31/2027
Facility Type Pharmacy
Lab Director DIVYA R. JOSEPH

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This page was last updated on: 5/18/2026