08D2040453 CLIA NUMBER - WALGREENS # 11047

Laboratory Demographics

  • CLIA Code: 08D2040453
  • Facility Name: WALGREENS # 11047
  • Facility Address: 2 COLLEGE PARK LANE
    GEORGETOWN, DE
    ZIP 19947
  • Facility Phone: (302) 854-5200
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MR. WILSON KOKROKO
  • NPI Number: 1528088390
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 08D2040453
LAB Type Pharmacy
Facility Name WALGREENS # 11047
Street 2 COLLEGE PARK LANE
City GEORGETOWN
State DE
ZIP 19947
Phone 3028545200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/30/2025
Certificate Expiration Date 8/29/2027
Facility Type Pharmacy
Lab Director MR. WILSON KOKROKO

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