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39D2293397 CLIA NUMBER - WALGREENS #02014

Laboratory Demographics

CLIA Number: 39D2293397

Facility Name: WALGREENS #02014

Facility Address:
8500 NEW FALLS RD
LEVITTOWN, PA
ZIP 19054
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Facility Phone Number: 215 943-3694

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1982619888

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 39D2293397
LAB Type Pharmacy
Facility Name WALGREENS #02014
Street 8500 NEW FALLS RD
City LEVITTOWN
State PA
ZIP 19054
Phone 215 943-3694
CertificateType 4
CertificateEffectiveDate 11/8/2023
CertificateExpirationDate 11/7/2025
FacilityType Waiver

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