08D2011886 CLIA NUMBER - WALGREENS #12752

Laboratory Demographics

  • CLIA Code: 08D2011886
  • Facility Name: WALGREENS #12752
  • Facility Address: 17239 FIVE POINTS SQ
    LEWES, DE
    ZIP 19958
  • Facility Phone: 302 644-7840
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ALICIA VICKERS
  • NPI Number: 1134149933
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 08D2011886
LAB Type Pharmacy
Facility Name WALGREENS #12752
Street 17239 FIVE POINTS SQ
City LEWES
State DE
ZIP 19958
Phone 302 644-7840
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/12/2025
Certificate Expiration Date 1/11/2027
Facility Type Pharmacy
Lab Director ALICIA VICKERS

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