08D2023112 CLIA NUMBER - WALGREENS #11132

Laboratory Demographics

  • CLIA Code: 08D2023112
  • Facility Name: WALGREENS #11132
  • Facility Address: 648 N W FRONT STREET
    MILFORD, DE
    ZIP 19963
  • Facility Phone: 302 424-6300
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JONATHAN M. KAPPUCK
  • NPI Number: 1750301552
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 08D2023112
LAB Type Pharmacy
Facility Name WALGREENS #11132
Street 648 N W FRONT STREET
City MILFORD
State DE
ZIP 19963
Phone 302 424-6300
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 JONATHAN M. KAPPUCK

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