39D2304718 CLIA NUMBER - WALGREENS 04487

Laboratory Demographics

  • CLIA Code: 39D2304718
  • Facility Name: WALGREENS 04487
  • Facility Address: 3620 CONCORD RD
    ASTON, PA
    ZIP 19014
  • Facility Phone: 610 485-8102
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: REGINA FALLON
  • NPI Number: 1154336048
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 39D2304718
LAB Type Pharmacy
Facility Name WALGREENS 04487
Street 3620 CONCORD RD
City ASTON
State PA
ZIP 19014
Phone 610 485-8102
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/17/2024
Certificate Expiration Date 5/16/2026
Facility Type Pharmacy
Lab Director REGINA FALLON

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