39D2226923 CLIA NUMBER - WALGREENS #10786

Laboratory Demographics

  • CLIA Code: 39D2226923
  • Facility Name: WALGREENS #10786
  • Facility Address: 100 CAVASINA DR
    CANONSBURG, PA
    ZIP 15317
  • Facility Phone: (724) 873-8790
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: GINA M. JOY
  • NPI Number: 1275205197
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 39D2226923
LAB Type Pharmacy
Facility Name WALGREENS #10786
Street 100 CAVASINA DR
City CANONSBURG
State PA
ZIP 15317
Phone 7248738790
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 GINA M. JOY

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This page was last updated on: 5/15/2026