39D2221155 CLIA NUMBER - WALGREENS #07739

Laboratory Demographics

  • CLIA Code: 39D2221155
  • Facility Name: WALGREENS #07739
  • Facility Address: 330 S MAIN AVE
    SCRANTON, PA
    ZIP 18504
  • Facility Phone: 570 341-1429
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PHILIP TOCHELLI III
  • NPI Number: 1689689572
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 39D2221155
LAB Type Pharmacy
Facility Name WALGREENS #07739
Street 330 S MAIN AVE
City SCRANTON
State PA
ZIP 18504
Phone 570 341-1429
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 PHILIP TOCHELLI III

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