39D2227794 CLIA NUMBER - WALGREENS #10894

Laboratory Demographics

CLIA Number: 39D2227794

Facility Name: WALGREENS #10894

Facility Address:
280 NEW CASTLE RD
BUTLER, PA
ZIP 16001
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Facility Phone Number: 724 282-9414

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1427232941

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 39D2227794
LAB Type Pharmacy
Facility Name WALGREENS #10894
Street 280 NEW CASTLE RD
City BUTLER
State PA
ZIP 16001
Phone 724 282-9414
CertificateType 4
CertificateEffectiveDate 6/17/2023
CertificateExpirationDate 6/16/2025
FacilityType Waiver

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