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39D2222875 CLIA NUMBER - WALGREENS #13942

Laboratory Demographics

CLIA Number: 39D2222875

Facility Name: WALGREENS #13942

Facility Address:
996 2ND STREET PIKE
RICHBORO, PA
ZIP 18954
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Facility Phone Number: 215 355-4102

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1811328198

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

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
CertificateType 4
CertificateEffectiveDate 5/3/2023
CertificateExpirationDate 5/2/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024