08D2041629 CLIA NUMBER - WALGREENS #11021

Laboratory Demographics

  • CLIA Code: 08D2041629
  • Facility Name: WALGREENS #11021
  • Facility Address: 18993 MUNCHY BRANCH ROAD
    REHOBOTH, DE
    ZIP 19971
  • Facility Phone: 302 226-0220
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MS. ELIZABETH A. DATTOLI
  • NPI Number: 1023038932
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 08D2041629
LAB Type Pharmacy
Facility Name WALGREENS #11021
Street 18993 MUNCHY BRANCH ROAD
City REHOBOTH
State DE
ZIP 19971
Phone 302 226-0220
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/29/2025
Certificate Expiration Date 8/28/2027
Facility Type Pharmacy
Lab Director MS. ELIZABETH A. DATTOLI

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