31D2035779 CLIA NUMBER - WALGREENS#09249

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Laboratory Demographics

CLIA Number: 31D2035779

Facility Name: WALGREENS#09249

Facility Address:
1982 ROUTE 57
HACKETTSTOWN, NJ
ZIP 07840
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Facility Phone Number: 908 850-3529

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1578516639

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	31D2035779
LAB Type	Pharmacy
Facility Name	WALGREENS#09249
Street	1982 ROUTE 57
City	HACKETTSTOWN
State	NJ
ZIP	07840
Phone	908 850-3529
CertificateType	4
CertificateEffectiveDate	4/13/2023
CertificateExpirationDate	4/12/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024