31D2034912 CLIA NUMBER - WALGREENS#02593

Laboratory Demographics

  • CLIA Code: 31D2034912
  • Facility Name: WALGREENS#02593
  • Facility Address: 1197 AMBOY AVE
    EDISON, NJ
    ZIP 08837
  • Facility Phone: 732 549-3875
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ISHAN SHAH
  • NPI Number: 1184639171
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2034912
LAB Type Pharmacy
Facility Name WALGREENS#02593
Street 1197 AMBOY AVE
City EDISON
State NJ
ZIP 08837
Phone 732 549-3875
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/11/2025
Certificate Expiration Date 8/10/2027
Facility Type Pharmacy
Lab Director ISHAN SHAH

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