39D2236997 CLIA NUMBER - WALGREENS #12492

Laboratory Demographics

  • CLIA Code: 39D2236997
  • Facility Name: WALGREENS #12492
  • Facility Address: 190 WILMINGTON W CHESTER PIKE
    CHADDS FORD, PA
    ZIP 19317
  • Facility Phone: 610 459-8552
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JAISON V. JOHN
  • NPI Number: 1588684096
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 39D2236997
LAB Type Pharmacy
Facility Name WALGREENS #12492
Street 190 WILMINGTON W CHESTER PIKE
City CHADDS FORD
State PA
ZIP 19317
Phone 610 459-8552
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 JAISON V. JOHN

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