31D2034983 CLIA NUMBER - WALGREENS #10676

Laboratory Demographics

  • CLIA Code: 31D2034983
  • Facility Name: WALGREENS #10676
  • Facility Address: 247 ROUTE 22 E
    GREEN BROOK, NJ
    ZIP 08812
  • Facility Phone: 732 624-1520
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BANSRI R. PATEL
  • NPI Number: 1558673046
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2034983
LAB Type Pharmacy
Facility Name WALGREENS #10676
Street 247 ROUTE 22 E
City GREEN BROOK
State NJ
ZIP 08812
Phone 732 624-1520
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/5/2025
Certificate Expiration Date 2/4/2027
Facility Type Pharmacy
Lab Director BANSRI R. PATEL

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