39D2215218 CLIA NUMBER - WALGREENS #09801

Laboratory Demographics

CLIA Number: 39D2215218

Facility Name: WALGREENS #09801

Facility Address:
6379 HAMILTON BOULEVARD
ALLENTOWN, PA
ZIP 18106
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Facility Phone Number: 610 530-0740

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1881749117

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 39D2215218
LAB Type Pharmacy
Facility Name WALGREENS #09801
Street 6379 HAMILTON BOULEVARD
City ALLENTOWN
State PA
ZIP 18106
Phone 610 530-0740
CertificateType 4
CertificateEffectiveDate 3/2/2023
CertificateExpirationDate 3/1/2025
FacilityType Waiver

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