31D2034932 CLIA NUMBER - WALGREENS#12048

Laboratory Demographics

CLIA Number: 31D2034932

Facility Name: WALGREENS#12048

Facility Address:
221 DELSEA DR N
GLASSBORO, NJ
ZIP 08028
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Facility Phone Number: 856 881-5945

Facility Type: Other - COVID 19 TEST SITE

Certificate Type: Waiver

NPI Number: 1487961512

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name Field Value
CLIA Number 31D2034932
LAB Type Other - COVID 19 TEST SITE
Facility Name WALGREENS#12048
Street 221 DELSEA DR N
City GLASSBORO
State NJ
ZIP 08028
Phone 856 881-5945
CertificateType 4
CertificateEffectiveDate 12/14/2022
CertificateExpirationDate 12/13/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024