Healther Providers Data Logo

39D1091277 CLIA NUMBER - WALGREENS #09676

Laboratory Demographics

CLIA Number: 39D1091277

Facility Name: WALGREENS #09676

Facility Address:
99 JEFFERSON AVENUE
WASHINGTON, PA
ZIP 15301
Get Directions

Facility Phone Number: 724 228-3201

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1356726665

Taxonomy: 183500000X - Pharmacist
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

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
CertificateType 4
CertificateEffectiveDate 3/23/2023
CertificateExpirationDate 3/22/2025
FacilityType Waiver

Download Record

Download this CLIA NUMBER record in Text format: Export

Download this CLIA NUMBER record in Excel (CSV) format: Export

Download this CLIA NUMBER record in XML format: Export

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