39D2222876 CLIA NUMBER - WALGREENS #11768

Laboratory Demographics

  • CLIA Code: 39D2222876
  • Facility Name: WALGREENS #11768
  • Facility Address: 4667 WILLIAM PENN HWY
    MURRYSVILLE, PA
    ZIP 15668
  • Facility Phone: 724 325-3478
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SCOTT W. MONTGOMERY
  • NPI Number: 1558676866
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 39D2222876
LAB Type Pharmacy
Facility Name WALGREENS #11768
Street 4667 WILLIAM PENN HWY
City MURRYSVILLE
State PA
ZIP 15668
Phone 724 325-3478
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 SCOTT W. MONTGOMERY

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