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30D2231281 CLIA NUMBER - WALGREENS #09178

Laboratory Demographics

CLIA Number: 30D2231281

Facility Name: WALGREENS #09178

Facility Address:
131 NASHUA RD
LONDONDERRY, NH
ZIP 03053
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Facility Phone Number: 603 432-5897

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1093720070

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 30D2231281
LAB Type Pharmacy
Facility Name WALGREENS #09178
Street 131 NASHUA RD
City LONDONDERRY
State NH
ZIP 03053
Phone 603 432-5897
CertificateType 4
CertificateEffectiveDate 8/2/2023
CertificateExpirationDate 8/1/2025
FacilityType Waiver

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