08D2038571 CLIA NUMBER - WALGREENS #11008

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Laboratory Demographics

CLIA Number: 08D2038571

Facility Name: WALGREENS #11008

Facility Address:
124 EAST MAIN STREET
NEWARK, DE
ZIP 19711
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Facility Phone Number: 302 738-6333

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1073539672

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	08D2038571
LAB Type	Pharmacy
Facility Name	WALGREENS #11008
Street	124 EAST MAIN STREET
City	NEWARK
State	DE
ZIP	19711
Phone	302 738-6333
CertificateType	4
CertificateEffectiveDate	8/29/2023
CertificateExpirationDate	8/28/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024