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39D2294339 CLIA NUMBER - WALGREEN #09736

Laboratory Demographics

CLIA Number: 39D2294339

Facility Name: WALGREEN #09736

Facility Address:
4885 MCKNIGHT RD
PITTSBURGH, PA
ZIP 15237
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Facility Phone Number: 412 366-6359

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1407955263

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 39D2294339
LAB Type Pharmacy
Facility Name WALGREEN #09736
Street 4885 MCKNIGHT RD
City PITTSBURGH
State PA
ZIP 15237
Phone 412 366-6359
CertificateType 4
CertificateEffectiveDate 11/22/2023
CertificateExpirationDate 11/21/2025
FacilityType Waiver

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