39D2311665 CLIA NUMBER - WALGREENS #09677

Laboratory Demographics

  • CLIA Code: 39D2311665
  • Facility Name: WALGREENS #09677
  • Facility Address: 2101 S QUEEN ST
    YORK, PA
    ZIP 17403
  • Facility Phone: 717 843-0197
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AMIN H. SOLIMAN
  • NPI Number: 1609881507
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 39D2311665
LAB Type Pharmacy
Facility Name WALGREENS #09677
Street 2101 S QUEEN ST
City YORK
State PA
ZIP 17403
Phone 717 843-0197
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 AMIN H. SOLIMAN

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