08D2041626 CLIA NUMBER - WALGREENS # 13003

Laboratory Demographics

  • CLIA Code: 08D2041626
  • Facility Name: WALGREENS # 13003
  • Facility Address: 9202 COMMERCIAL CENTRE DRIVE
    BRIDGEVILLE, DE
    ZIP 19933
  • Facility Phone: 302 337-9785
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MR. JASON SLAVOSKI
  • NPI Number: 1396766622
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 08D2041626
LAB Type Pharmacy
Facility Name WALGREENS # 13003
Street 9202 COMMERCIAL CENTRE DRIVE
City BRIDGEVILLE
State DE
ZIP 19933
Phone 302 337-9785
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/6/2024
Certificate Expiration Date 7/5/2026
Facility Type Pharmacy
Lab Director MR. JASON SLAVOSKI

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