08D2042138 CLIA NUMBER - WALGREENS # 21382

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Laboratory Demographics

CLIA Number: 08D2042138

Facility Name: WALGREENS # 21382

Facility Address:
20 N DUPONT HWY
DOVER, DE
ZIP 19901
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Facility Phone Number: 302 730-5280

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1972519221

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	08D2042138
LAB Type	Pharmacy
Facility Name	WALGREENS # 21382
Street	20 N DUPONT HWY
City	DOVER
State	DE
ZIP	19901
Phone	302 730-5280
CertificateType	4
CertificateEffectiveDate	8/23/2023
CertificateExpirationDate	8/22/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024