39D2215213 CLIA NUMBER - WALGREENS #12034

Laboratory Demographics

  • CLIA Code: 39D2215213
  • Facility Name: WALGREENS #12034
  • Facility Address: 300 N BRADFORD AVE
    WEST CHESTER, PA
    ZIP 19380
  • Facility Phone: 610 696-0145
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KIM T. CHIN
  • NPI Number: 1578859260
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 39D2215213
LAB Type Pharmacy
Facility Name WALGREENS #12034
Street 300 N BRADFORD AVE
City WEST CHESTER
State PA
ZIP 19380
Phone 610 696-0145
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/2/2025
Certificate Expiration Date 3/1/2027
Facility Type Pharmacy
Lab Director KIM T. CHIN

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