08D2038543 CLIA NUMBER - WALGREENS #12462

Laboratory Demographics

  • CLIA Code: 08D2038543
  • Facility Name: WALGREENS #12462
  • Facility Address: 700 S RIDGE AVENUE
    MIDDLETOWN, DE
    ZIP 19709
  • Facility Phone: 302 378-9512
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MR. AMY V. KERNICK
  • NPI Number: 1063435360
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 08D2038543
LAB Type Pharmacy
Facility Name WALGREENS #12462
Street 700 S RIDGE AVENUE
City MIDDLETOWN
State DE
ZIP 19709
Phone 302 378-9512
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 MR. AMY V. KERNICK

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