08D2065116 CLIA NUMBER - WALGREENS # 11063

Laboratory Demographics

  • CLIA Code: 08D2065116
  • Facility Name: WALGREENS # 11063
  • Facility Address: 52 W BIRDIE LANE
    MAGNOLIA, DE
    ZIP 19962
  • Facility Phone: 302 697-7435
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AZHAR A. MUNSHI
  • NPI Number: 1619998937
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 08D2065116
LAB Type Pharmacy
Facility Name WALGREENS # 11063
Street 52 W BIRDIE LANE
City MAGNOLIA
State DE
ZIP 19962
Phone 302 697-7435
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2025
Certificate Expiration Date 8/31/2027
Facility Type Pharmacy
Lab Director AZHAR A. MUNSHI

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