39D2222874 CLIA NUMBER - WALGREENS #19444

Laboratory Demographics

  • CLIA Code: 39D2222874
  • Facility Name: WALGREENS #19444
  • Facility Address: 667 ROUTE 739
    HAWLEY, PA
    ZIP 18428
  • Facility Phone: 570 775-0405
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOHN ZIMMIE
  • NPI Number: 1205353166
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 39D2222874
LAB Type Pharmacy
Facility Name WALGREENS #19444
Street 667 ROUTE 739
City HAWLEY
State PA
ZIP 18428
Phone 570 775-0405
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/3/2025
Certificate Expiration Date 5/2/2027
Facility Type Pharmacy
Lab Director JOHN ZIMMIE

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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