30D2230758 CLIA NUMBER - WALGREENS #09250

Laboratory Demographics

CLIA Number: 30D2230758

Facility Name: WALGREENS #09250

Facility Address:
12 MAIN ST
EPPING, NH
ZIP 03042
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Facility Phone Number: 603 679-5839

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1992710974

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	30D2230758
LAB Type	Pharmacy
Facility Name	WALGREENS #09250
Street	12 MAIN ST
City	EPPING
State	NH
ZIP	03042
Phone	603 679-5839
CertificateType	4
CertificateEffectiveDate	7/28/2023
CertificateExpirationDate	7/27/2025
FacilityType	Waiver

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