39D2226921 CLIA NUMBER - WALGREENS #09673

Laboratory Demographics

  • CLIA Code: 39D2226921
  • Facility Name: WALGREENS #09673
  • Facility Address: 3180 CARLISLE RD
    DOVER, PA
    ZIP 17315
  • Facility Phone: 707 767-5322
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RACHEL A. GLADFELTER
  • NPI Number: 1790790533
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 39D2226921
LAB Type Pharmacy
Facility Name WALGREENS #09673
Street 3180 CARLISLE RD
City DOVER
State PA
ZIP 17315
Phone 707 767-5322
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/7/2025
Certificate Expiration Date 6/6/2027
Facility Type Pharmacy
Lab Director RACHEL A. GLADFELTER

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