39D2227801 CLIA NUMBER - WALGREENS #10388

Laboratory Demographics

  • CLIA Code: 39D2227801
  • Facility Name: WALGREENS #10388
  • Facility Address: 494 NUTT RD
    PHOENIXVILLE, PA
    ZIP 19460
  • Facility Phone: 610 933-2798
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DOUGLAS SYRYLO
  • NPI Number: 1992940795
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 39D2227801
LAB Type Pharmacy
Facility Name WALGREENS #10388
Street 494 NUTT RD
City PHOENIXVILLE
State PA
ZIP 19460
Phone 610 933-2798
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/17/2025
Certificate Expiration Date 6/16/2027
Facility Type Pharmacy
Lab Director DOUGLAS SYRYLO

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