31D2034929 CLIA NUMBER - WALGREENS#01531

Laboratory Demographics

  • CLIA Code: 31D2034929
  • Facility Name: WALGREENS#01531
  • Facility Address: 625 N BLACK HORSE PIKE
    BLACKWOOD, NJ
    ZIP 08012
  • Facility Phone: 856 228-1368
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: FLORDELIZ ESTRELLADO
  • NPI Number: 1518972405
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2034929
LAB Type Pharmacy
Facility Name WALGREENS#01531
Street 625 N BLACK HORSE PIKE
City BLACKWOOD
State NJ
ZIP 08012
Phone 856 228-1368
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/12/2025
Certificate Expiration Date 10/11/2027
Facility Type Pharmacy
Lab Director FLORDELIZ ESTRELLADO

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