39D2221153 CLIA NUMBER - WALGREENS #09804

Laboratory Demographics

  • CLIA Code: 39D2221153
  • Facility Name: WALGREENS #09804
  • Facility Address: 180 W MAIN ST
    UNIONTOWN, PA
    ZIP 15401
  • Facility Phone: 724 434-2704
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AMBER MAYFIELD
  • NPI Number: 1023045275
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 39D2221153
LAB Type Pharmacy
Facility Name WALGREENS #09804
Street 180 W MAIN ST
City UNIONTOWN
State PA
ZIP 15401
Phone 724 434-2704
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 AMBER MAYFIELD

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This page was last updated on: 6/4/2025