31D2034970 CLIA NUMBER - WALGREENS#10490

Laboratory Demographics

  • CLIA Code: 31D2034970
  • Facility Name: WALGREENS#10490
  • Facility Address: 1601 KEARSLEY ROAD
    SICKLERVILLE, NJ
    ZIP 08081
  • Facility Phone: 856 566-2602
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JI Y. LEE
  • NPI Number: 1861668063
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2034970
LAB Type Pharmacy
Facility Name WALGREENS#10490
Street 1601 KEARSLEY ROAD
City SICKLERVILLE
State NJ
ZIP 08081
Phone 856 566-2602
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/28/2025
Certificate Expiration Date 7/27/2027
Facility Type Pharmacy
Lab Director JI Y. LEE

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