08D2041325 CLIA NUMBER - WALGREENS # 11135

Laboratory Demographics

  • CLIA Code: 08D2041325
  • Facility Name: WALGREENS # 11135
  • Facility Address: 5999 SUMMIT BRIDGE ROAD
    TOWNSEND, DE
    ZIP 19734
  • Facility Phone: 302 696-1002
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MR. RYAN D. MAHLE
  • NPI Number: 1215121942
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 08D2041325
LAB Type Pharmacy
Facility Name WALGREENS # 11135
Street 5999 SUMMIT BRIDGE ROAD
City TOWNSEND
State DE
ZIP 19734
Phone 302 696-1002
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/25/2023
Certificate Expiration Date 10/24/2025
Facility Type Pharmacy
Lab Director MR. RYAN D. MAHLE

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