39D2215223 CLIA NUMBER - WALGREENS #07543

Laboratory Demographics

  • CLIA Code: 39D2215223
  • Facility Name: WALGREENS #07543
  • Facility Address: 2310 W OREGON AVENUE
    PHILADELPHIA, PA
    ZIP 19145
  • Facility Phone: 215 468-2481
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TERESA CASTELLANO
  • NPI Number: 1124033113
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 39D2215223
LAB Type Pharmacy
Facility Name WALGREENS #07543
Street 2310 W OREGON AVENUE
City PHILADELPHIA
State PA
ZIP 19145
Phone 215 468-2481
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 TERESA CASTELLANO

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