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39D2227445 CLIA NUMBER - WALGREENS #01034

Laboratory Demographics

CLIA Number: 39D2227445

Facility Name: WALGREENS #01034

Facility Address:
112 W STEUBEN ST
CRAFTON, PA
ZIP 15205
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Facility Phone Number: 412 928-0146

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1770598666

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name Field Value
CLIA Number 39D2227445
LAB Type Pharmacy
Facility Name WALGREENS #01034
Street 112 W STEUBEN ST
City CRAFTON
State PA
ZIP 15205
Phone 412 928-0146
CertificateType 4
CertificateEffectiveDate 6/11/2023
CertificateExpirationDate 6/10/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024