08D2038546 CLIA NUMBER - WALGREENS #11075

Laboratory Demographics

  • CLIA Code: 08D2038546
  • Facility Name: WALGREENS #11075
  • Facility Address: 2470 S DUPONT HIGHWAY
    MIDDLETOWN, DE
    ZIP 19709
  • Facility Phone: 302 376-9743
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MR. MARK A. GRAYBEAL
  • NPI Number: 1437171907
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 08D2038546
LAB Type Pharmacy
Facility Name WALGREENS #11075
Street 2470 S DUPONT HIGHWAY
City MIDDLETOWN
State DE
ZIP 19709
Phone 302 376-9743
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/4/2025
Certificate Expiration Date 5/3/2027
Facility Type Pharmacy
Lab Director MR. MARK A. GRAYBEAL

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