39D2294342 CLIA NUMBER - WALGREEN #13141

Laboratory Demographics

  • CLIA Code: 39D2294342
  • Facility Name: WALGREEN #13141
  • Facility Address: 8828 FRANKFORD AVE
    PHILADELPHIA, PA
    ZIP 19136
  • Facility Phone: 215 338-4010
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SASIN I. GEORGE
  • NPI Number: 1932477700
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 39D2294342
LAB Type Pharmacy
Facility Name WALGREEN #13141
Street 8828 FRANKFORD AVE
City PHILADELPHIA
State PA
ZIP 19136
Phone 215 338-4010
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 SASIN I. GEORGE

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