39D2223694 CLIA NUMBER - WALGREENS #19871

Laboratory Demographics

  • CLIA Code: 39D2223694
  • Facility Name: WALGREENS #19871
  • Facility Address: 100 W HARTFORD ST
    MILFORD, PA
    ZIP 18337
  • Facility Phone: 570 296-6014
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RONALD CAVALIER
  • NPI Number: 1578080438
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 39D2223694
LAB Type Pharmacy
Facility Name WALGREENS #19871
Street 100 W HARTFORD ST
City MILFORD
State PA
ZIP 18337
Phone 570 296-6014
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/8/2025
Certificate Expiration Date 5/7/2027
Facility Type Pharmacy
Lab Director RONALD CAVALIER

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