31D2034930 CLIA NUMBER - WALGREENS#05984

Laboratory Demographics

  • CLIA Code: 31D2034930
  • Facility Name: WALGREENS#05984
  • Facility Address: 8 HADDON AVENUE
    HADDON TOWNSHIP, NJ
    ZIP 08108
  • Facility Phone: 856 869-7504
  • Facility Type: Other - COVID 19 TEST SITE
  • Facility Type: Waiver
  • Lab Director: ROBERT LAU
  • NPI Number: 1720093610
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2034930
LAB Type Other - COVID 19 TEST SITE
Facility Name WALGREENS#05984
Street 8 HADDON AVENUE
City HADDON TOWNSHIP
State NJ
ZIP 08108
Phone 856 869-7504
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/15/2024
Certificate Expiration Date 12/14/2026
Facility Type Other - COVID 19 TEST SITE
Lab Director ROBERT LAU

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