31D2035779 CLIA NUMBER - WALGREENS#09249

Laboratory Demographics

  • CLIA Code: 31D2035779
  • Facility Name: WALGREENS#09249
  • Facility Address: 1982 ROUTE 57
    HACKETTSTOWN, NJ
    ZIP 07840
  • Facility Phone: 908 850-3529
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PETER A. JENSEN
  • NPI Number: 1578516639
  • Taxonomy: 333600000X - Pharmacy

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/13/2025
Certificate Expiration Date 4/12/2027
Facility Type Pharmacy
Lab Director PETER A. JENSEN

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This page was last updated on: 3/20/2025