08D2038549 CLIA NUMBER - WALGREENS #11066

Laboratory Demographics

  • CLIA Code: 08D2038549
  • Facility Name: WALGREENS #11066
  • Facility Address: 19 MARROWS ROAD
    NEWARK, DE
    ZIP 19713
  • Facility Phone: (302) 369-2510
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MR. RAHEL M. IYASSU
  • NPI Number: 1376551820
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 08D2038549
LAB Type Pharmacy
Facility Name WALGREENS #11066
Street 19 MARROWS ROAD
City NEWARK
State DE
ZIP 19713
Phone 3023692510
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/3/2025
Certificate Expiration Date 10/2/2027
Facility Type Pharmacy
Lab Director MR. RAHEL M. IYASSU

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This page was last updated on: 5/18/2026