39D2216540 CLIA NUMBER - WALGREENS #010386

Laboratory Demographics

  • CLIA Code: 39D2216540
  • Facility Name: WALGREENS #010386
  • Facility Address: 508 E PLANK RD
    ALTOONA, PA
    ZIP 16602
  • Facility Phone: 814 944-3236
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CASEY L. BONSELL
  • NPI Number: 1245477835
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 39D2216540
LAB Type Pharmacy
Facility Name WALGREENS #010386
Street 508 E PLANK RD
City ALTOONA
State PA
ZIP 16602
Phone 814 944-3236
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 CASEY L. BONSELL

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