39D2240466 CLIA NUMBER - WALGREENS #07590

Laboratory Demographics

CLIA Number: 39D2240466

Facility Name: WALGREENS #07590

Facility Address:
2 E STREET RD
FEASTERVILLE TREVOSE, PA
ZIP 19053
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Facility Phone Number: 215 364-4249

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1427063320

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	39D2240466
LAB Type	Pharmacy
Facility Name	WALGREENS #07590
Street	2 E STREET RD
City	FEASTERVILLE TREVOSE
State	PA
ZIP	19053
Phone	215 364-4249
CertificateType	4
CertificateEffectiveDate	10/20/2023
CertificateExpirationDate	10/19/2025
FacilityType	Waiver

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