31D2035874 CLIA NUMBER - WALGREENS#04876

Laboratory Demographics

  • CLIA Code: 31D2035874
  • Facility Name: WALGREENS#04876
  • Facility Address: 905 NEW DURHAM ROAD
    EDISON, NJ
    ZIP 08817
  • Facility Phone: 732 287-3652
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: FALGUNI R. PATEL
  • NPI Number: 1255346243
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2035874
LAB Type Pharmacy
Facility Name WALGREENS#04876
Street 905 NEW DURHAM ROAD
City EDISON
State NJ
ZIP 08817
Phone 732 287-3652
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/18/2025
Certificate Expiration Date 2/17/2027
Facility Type Pharmacy
Lab Director FALGUNI R. PATEL

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