08D2042139 CLIA NUMBER - WALGREENS # 11134

Laboratory Demographics

  • CLIA Code: 08D2042139
  • Facility Name: WALGREENS # 11134
  • Facility Address: 700 JIMMY DRIVE
    SMYRNA, DE
    ZIP 19977
  • Facility Phone: 302 653-8528
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TARYN C. GORMAN
  • NPI Number: 1356367932
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 08D2042139
LAB Type Pharmacy
Facility Name WALGREENS # 11134
Street 700 JIMMY DRIVE
City SMYRNA
State DE
ZIP 19977
Phone 302 653-8528
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/25/2025
Certificate Expiration Date 8/24/2027
Facility Type Pharmacy
Lab Director TARYN C. GORMAN

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