39D2236981 CLIA NUMBER - WALGREENS #09776

Laboratory Demographics

  • CLIA Code: 39D2236981
  • Facility Name: WALGREENS #09776
  • Facility Address: 3229 E STATE ST
    HERMITAGE, PA
    ZIP 16148
  • Facility Phone: 724 342-4603
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RACHEL L. BERTOLASIO
  • NPI Number: 1770634735
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 39D2236981
LAB Type Pharmacy
Facility Name WALGREENS #09776
Street 3229 E STATE ST
City HERMITAGE
State PA
ZIP 16148
Phone 724 342-4603
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/22/2025
Certificate Expiration Date 9/21/2027
Facility Type Pharmacy
Lab Director RACHEL L. BERTOLASIO

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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