39D1091277 CLIA NUMBER - WALGREENS #09676

Laboratory Demographics

  • CLIA Code: 39D1091277
  • Facility Name: WALGREENS #09676
  • Facility Address: 99 JEFFERSON AVENUE
    WASHINGTON, PA
    ZIP 15301
  • Facility Phone: 724 228-3201
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KRISTEN GRUBER
  • NPI Number: 1356726665
  • Taxonomy: 183500000X - Pharmacist

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CLIA Record

Field Name Field Value
CLIA Number 39D1091277
LAB Type Pharmacy
Facility Name WALGREENS #09676
Street 99 JEFFERSON AVENUE
City WASHINGTON
State PA
ZIP 15301
Phone 724 228-3201
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/23/2025
Certificate Expiration Date 3/22/2027
Facility Type Pharmacy
Lab Director KRISTEN GRUBER

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