39D2222076 CLIA NUMBER - WALGREENS #11323

Laboratory Demographics

  • CLIA Code: 39D2222076
  • Facility Name: WALGREENS #11323
  • Facility Address: 600 GAP NEWPORT PIKE
    AVONDALE, PA
    ZIP 19311
  • Facility Phone: 610 268-8110
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LJ ALERE
  • NPI Number: 1386926079
  • Taxonomy: 183500000X - Pharmacist

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CLIA Record

Field Name Field Value
CLIA Number 39D2222076
LAB Type Pharmacy
Facility Name WALGREENS #11323
Street 600 GAP NEWPORT PIKE
City AVONDALE
State PA
ZIP 19311
Phone 610 268-8110
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/27/2025
Certificate Expiration Date 4/26/2027
Facility Type Pharmacy
Lab Director LJ ALERE

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