31D2034971 CLIA NUMBER - WALGREENS#10910

Laboratory Demographics

  • CLIA Code: 31D2034971
  • Facility Name: WALGREENS#10910
  • Facility Address: 1015 N MAIN ROAD
    VINELAND, NJ
    ZIP 08360
  • Facility Phone: 856 691-1465
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LISA HARTMAN
  • NPI Number: 1144477746
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2034971
LAB Type Pharmacy
Facility Name WALGREENS#10910
Street 1015 N MAIN ROAD
City VINELAND
State NJ
ZIP 08360
Phone 856 691-1465
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/21/2025
Certificate Expiration Date 5/20/2027
Facility Type Pharmacy
Lab Director LISA HARTMAN

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