39D2293399 CLIA NUMBER - WALGREENS #03255

Laboratory Demographics

  • CLIA Code: 39D2293399
  • Facility Name: WALGREENS #03255
  • Facility Address: 1319 HANOVER AVE
    ALLENTOWN, PA
    ZIP 18109
  • Facility Phone: 610 776-2514
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CARISSA R. CASELLA
  • NPI Number: 1306851399
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 39D2293399
LAB Type Pharmacy
Facility Name WALGREENS #03255
Street 1319 HANOVER AVE
City ALLENTOWN
State PA
ZIP 18109
Phone 610 776-2514
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/8/2023
Certificate Expiration Date 11/7/2025
Facility Type Pharmacy
Lab Director CARISSA R. CASELLA

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