39D2293402 CLIA NUMBER - WALGREENS #05985

Laboratory Demographics

  • CLIA Code: 39D2293402
  • Facility Name: WALGREENS #05985
  • Facility Address: 2535 WILLIAM PENN HWY
    PALMER TOWNSHIP, PA
    ZIP 18045
  • Facility Phone: 610 252-3538
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TAYLOR E. MAKATURA
  • NPI Number: 1306851290
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 39D2293402
LAB Type Pharmacy
Facility Name WALGREENS #05985
Street 2535 WILLIAM PENN HWY
City PALMER TOWNSHIP
State PA
ZIP 18045
Phone 610 252-3538
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 TAYLOR E. MAKATURA

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