08D2011895 CLIA NUMBER - WALGREENS #09687

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Laboratory Demographics

CLIA Number: 08D2011895

Facility Name: WALGREENS #09687

Facility Address:
1001 FORREST AVE
DOVER, DE
ZIP 19904
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Facility Phone Number: 302 678-9820

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1669491841

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	08D2011895
LAB Type	Pharmacy
Facility Name	WALGREENS #09687
Street	1001 FORREST AVE
City	DOVER
State	DE
ZIP	19904
Phone	302 678-9820
CertificateType	4
CertificateEffectiveDate	1/12/2023
CertificateExpirationDate	1/11/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024