08D2038540 CLIA NUMBER - WALGREENS #11067

Laboratory Demographics

  • CLIA Code: 08D2038540
  • Facility Name: WALGREENS #11067
  • Facility Address: 396 E MAIN STREET
    MIDDLETOWN, DE
    ZIP 19709
  • Facility Phone: 302 378-1891
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KIM P. PHAM
  • NPI Number: 1922022136
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 08D2038540
LAB Type Pharmacy
Facility Name WALGREENS #11067
Street 396 E MAIN STREET
City MIDDLETOWN
State DE
ZIP 19709
Phone 302 378-1891
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/25/2025
Certificate Expiration Date 8/24/2027
Facility Type Pharmacy
Lab Director KIM P. PHAM

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