39D2221152 CLIA NUMBER - WALGREENS #10520

Laboratory Demographics

  • CLIA Code: 39D2221152
  • Facility Name: WALGREENS #10520
  • Facility Address: 3727 PEACH ST
    ERIE, PA
    ZIP 16508
  • Facility Phone: 814 864-0292
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TARA L. CHRISTOPHER
  • NPI Number: 1447434964
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 39D2221152
LAB Type Pharmacy
Facility Name WALGREENS #10520
Street 3727 PEACH ST
City ERIE
State PA
ZIP 16508
Phone 814 864-0292
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/20/2025
Certificate Expiration Date 4/19/2027
Facility Type Pharmacy
Lab Director TARA L. CHRISTOPHER

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