39D2240471 CLIA NUMBER - WALGREENS #11056

Laboratory Demographics

  • CLIA Code: 39D2240471
  • Facility Name: WALGREENS #11056
  • Facility Address: 51 BALTIMORE PIKE
    GLEN MILLS, PA
    ZIP 19342
  • Facility Phone: 610 358-9725
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANNAMARIE CHRISTINA
  • NPI Number: 1134149644
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 39D2240471
LAB Type Pharmacy
Facility Name WALGREENS #11056
Street 51 BALTIMORE PIKE
City GLEN MILLS
State PA
ZIP 19342
Phone 610 358-9725
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/20/2025
Certificate Expiration Date 10/19/2027
Facility Type Pharmacy
Lab Director ANNAMARIE CHRISTINA

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