39D2292436 CLIA NUMBER - WALGREENS #07544

Laboratory Demographics

  • CLIA Code: 39D2292436
  • Facility Name: WALGREENS #07544
  • Facility Address: 10000 BUSTLETON AVE
    PHILADELPHIA, PA
    ZIP 19116
  • Facility Phone: 215 698-1878
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ARTHUR SHAROYAN
  • NPI Number: 1134134026
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 39D2292436
LAB Type Pharmacy
Facility Name WALGREENS #07544
Street 10000 BUSTLETON AVE
City PHILADELPHIA
State PA
ZIP 19116
Phone 215 698-1878
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 ARTHUR SHAROYAN

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