CLIA lab
CLIA 39D2221819: Walgreens #03663
Brookhaven, PA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 39D2221819 belongs to Walgreens #03663 in Brookhaven, PA.
Certificate of Waiver, effective April 26, 2025, expires April 25, 2027.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- April 26, 2025
- Certificate expiration
- April 25, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 26, 2021
- Facility type
- Pharmacy
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 39D2221819
- Lab name
- Walgreens #03663
- Address
- 4098 Edgmont Ave, Brookhaven, PA 19015
- Phone
- (610) 876-8815
- Fax
- (610) 876-8868
Annual test volume the lab reported
- Waived tests
- 12,775
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Brookhaven, PA
Related
Questions
What is the CLIA number for Walgreens #03663 in Brookhaven?
39D2221819, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walgreens #03663 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 39D2221819 expire?
The CMS file lists April 25, 2027 as the certificate expiration date; the certificate took effect April 26, 2025.