08D2039831 CLIA NUMBER - WALGREENS # 11079

Laboratory Demographics

  • CLIA Code: 08D2039831
  • Facility Name: WALGREENS # 11079
  • Facility Address: 38627 BENRO DRIVE
    DELMAR, DE
    ZIP 19940
  • Facility Phone: 302 907-1010
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MR. ZEIN ELABDEEN R. EISSA
  • NPI Number: 1457373920
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 08D2039831
LAB Type Pharmacy
Facility Name WALGREENS # 11079
Street 38627 BENRO DRIVE
City DELMAR
State DE
ZIP 19940
Phone 302 907-1010
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. ZEIN ELABDEEN R. EISSA

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