08D2289084 CLIA NUMBER - WALGREENS #15632

Laboratory Demographics

  • CLIA Code: 08D2289084
  • Facility Name: WALGREENS #15632
  • Facility Address: 2480 S DUPONT HWY
    CAMDEN, DE
    ZIP 19934
  • Facility Phone: 302 698-1265
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANGELO S. FASANO JR
  • NPI Number: 1699799908
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 08D2289084
LAB Type Pharmacy
Facility Name WALGREENS #15632
Street 2480 S DUPONT HWY
City CAMDEN
State DE
ZIP 19934
Phone 302 698-1265
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/6/2023
Certificate Expiration Date 9/5/2025
Facility Type Pharmacy
Lab Director ANGELO S. FASANO JR

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This page was last updated on: 6/4/2025