39D2293404 CLIA NUMBER - WALGREENS #11865

Laboratory Demographics

  • CLIA Code: 39D2293404
  • Facility Name: WALGREENS #11865
  • Facility Address: 234 S MAIN ST
    ZELIENOPLE, PA
    ZIP 16063
  • Facility Phone: 724 452-7360
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KATHERINE A. RUNNER
  • NPI Number: 1710198650
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 39D2293404
LAB Type Pharmacy
Facility Name WALGREENS #11865
Street 234 S MAIN ST
City ZELIENOPLE
State PA
ZIP 16063
Phone 724 452-7360
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 KATHERINE A. RUNNER

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