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39D2216540 CLIA NUMBER - WALGREENS #010386

Laboratory Demographics

CLIA Number: 39D2216540

Facility Name: WALGREENS #010386

Facility Address:
508 E PLANK RD
ALTOONA, PA
ZIP 16602
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Facility Phone Number: 814 944-3236

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1245477835

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 39D2216540
LAB Type Pharmacy
Facility Name WALGREENS #010386
Street 508 E PLANK RD
City ALTOONA
State PA
ZIP 16602
Phone 814 944-3236
CertificateType 4
CertificateEffectiveDate 3/13/2023
CertificateExpirationDate 3/12/2025
FacilityType Waiver

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