08D2038557 CLIA NUMBER - WALGREENS #11052

Laboratory Demographics

  • CLIA Code: 08D2038557
  • Facility Name: WALGREENS #11052
  • Facility Address: 2012 BRACKENVILLE ROAD
    HOCKESSIN, DE
    ZIP 19707
  • Facility Phone: 302 234-5710
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MR. RANNA DESAI
  • NPI Number: 1801817259
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 08D2038557
LAB Type Pharmacy
Facility Name WALGREENS #11052
Street 2012 BRACKENVILLE ROAD
City HOCKESSIN
State DE
ZIP 19707
Phone 302 234-5710
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. RANNA DESAI

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