39D2216539 CLIA NUMBER - WALGREENS #09876

Laboratory Demographics

  • CLIA Code: 39D2216539
  • Facility Name: WALGREENS #09876
  • Facility Address: 1262 LITITZ PIKE
    LANCASTER, PA
    ZIP 17601
  • Facility Phone: 717 290-2012
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: STEPHEN J. LOCK
  • NPI Number: 1083767867
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 39D2216539
LAB Type Pharmacy
Facility Name WALGREENS #09876
Street 1262 LITITZ PIKE
City LANCASTER
State PA
ZIP 17601
Phone 717 290-2012
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/13/2025
Certificate Expiration Date 3/12/2027
Facility Type Pharmacy
Lab Director STEPHEN J. LOCK

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