31D2034972 CLIA NUMBER - WALGREENS#11333

Laboratory Demographics

  • CLIA Code: 31D2034972
  • Facility Name: WALGREENS#11333
  • Facility Address: 7001 RTE 130 SOUTH
    DELRAN, NJ
    ZIP 08075
  • Facility Phone: 856 461-2152
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOSEPH CAO
  • NPI Number: 1073758876
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2034972
LAB Type Pharmacy
Facility Name WALGREENS#11333
Street 7001 RTE 130 SOUTH
City DELRAN
State NJ
ZIP 08075
Phone 856 461-2152
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/5/2025
Certificate Expiration Date 5/4/2027
Facility Type Pharmacy
Lab Director JOSEPH CAO

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