39D2311662 CLIA NUMBER - WALGREENS #10958

Laboratory Demographics

  • CLIA Code: 39D2311662
  • Facility Name: WALGREENS #10958
  • Facility Address: 30 W RIDGE PIKE
    LIMERICK, PA
    ZIP 19468
  • Facility Phone: 610 454-7295
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AUNNEE LOI
  • NPI Number: 1932341229
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 39D2311662
LAB Type Pharmacy
Facility Name WALGREENS #10958
Street 30 W RIDGE PIKE
City LIMERICK
State PA
ZIP 19468
Phone 610 454-7295
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/26/2024
Certificate Expiration Date 9/25/2026
Facility Type Pharmacy
Lab Director AUNNEE LOI

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