39D2292427 CLIA NUMBER - WALGREENS #04429

Laboratory Demographics

  • CLIA Code: 39D2292427
  • Facility Name: WALGREENS #04429
  • Facility Address: 150 N MACDADE BLVD
    GLENOLDEN, PA
    ZIP 19036
  • Facility Phone: 610 586-5224
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: GINA P. RICE
  • NPI Number: 1851306849
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 39D2292427
LAB Type Pharmacy
Facility Name WALGREENS #04429
Street 150 N MACDADE BLVD
City GLENOLDEN
State PA
ZIP 19036
Phone 610 586-5224
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/25/2023
Certificate Expiration Date 10/24/2025
Facility Type Pharmacy
Lab Director GINA P. RICE

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