39D2294340 CLIA NUMBER - WALGREEN #01106

Laboratory Demographics

  • CLIA Code: 39D2294340
  • Facility Name: WALGREEN #01106
  • Facility Address: 1456 BETHLEHEM PIKE
    FLOURTOWN, PA
    ZIP 19031
  • Facility Phone: 215 836-4243
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ZHEN J. GUO
  • NPI Number: 1124033014
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 39D2294340
LAB Type Pharmacy
Facility Name WALGREEN #01106
Street 1456 BETHLEHEM PIKE
City FLOURTOWN
State PA
ZIP 19031
Phone 215 836-4243
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/22/2023
Certificate Expiration Date 11/21/2025
Facility Type Pharmacy
Lab Director ZHEN J. GUO

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