31D2035042 CLIA NUMBER - WALGREENS#06929

Laboratory Demographics

  • CLIA Code: 31D2035042
  • Facility Name: WALGREENS#06929
  • Facility Address: 1819 MARLTON PIKE W
    CHERRY HILL, NJ
    ZIP 08002
  • Facility Phone: 856 662-3685
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MIKALA A. JOHNSON
  • NPI Number: 1174538060
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2035042
LAB Type Pharmacy
Facility Name WALGREENS#06929
Street 1819 MARLTON PIKE W
City CHERRY HILL
State NJ
ZIP 08002
Phone 856 662-3685
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 MIKALA A. JOHNSON

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