39D2226925 CLIA NUMBER - WALGREENS #09994

Laboratory Demographics

  • CLIA Code: 39D2226925
  • Facility Name: WALGREENS #09994
  • Facility Address: 1955 SULLIVAN TRL
    EASTON, PA
    ZIP 18040
  • Facility Phone: 610 258-7439
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RACHEL R. DATZ
  • NPI Number: 1922183821
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 39D2226925
LAB Type Pharmacy
Facility Name WALGREENS #09994
Street 1955 SULLIVAN TRL
City EASTON
State PA
ZIP 18040
Phone 610 258-7439
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 R. DATZ

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