39D2222875 CLIA NUMBER - WALGREENS #13942

Laboratory Demographics

  • CLIA Code: 39D2222875
  • Facility Name: WALGREENS #13942
  • Facility Address: 996 2ND STREET PIKE
    RICHBORO, PA
    ZIP 18954
  • Facility Phone: 215 355-4102
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ZACHARY C. PRALL
  • NPI Number: 1811328198
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 39D2222875
LAB Type Pharmacy
Facility Name WALGREENS #13942
Street 996 2ND STREET PIKE
City RICHBORO
State PA
ZIP 18954
Phone 215 355-4102
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 ZACHARY C. PRALL

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