39D2222079 CLIA NUMBER - WALGREENS #09878

Laboratory Demographics

  • CLIA Code: 39D2222079
  • Facility Name: WALGREENS #09878
  • Facility Address: 1009 N 9TH STREET
    STROUDSBURG, PA
    ZIP 18360
  • Facility Phone: 570 421-5025
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CARISSA R. CASELLA
  • NPI Number: 1932368305
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 39D2222079
LAB Type Pharmacy
Facility Name WALGREENS #09878
Street 1009 N 9TH STREET
City STROUDSBURG
State PA
ZIP 18360
Phone 570 421-5025
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 CARISSA R. CASELLA

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