31D2035875 CLIA NUMBER - WALGREENS#05248

Laboratory Demographics

  • CLIA Code: 31D2035875
  • Facility Name: WALGREENS#05248
  • Facility Address: 1147 SOUTH AVE
    PLAINFIELD, NJ
    ZIP 07062
  • Facility Phone: 908 757-7703
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHARLY NASSER
  • NPI Number: 1457366445
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2035875
LAB Type Pharmacy
Facility Name WALGREENS#05248
Street 1147 SOUTH AVE
City PLAINFIELD
State NJ
ZIP 07062
Phone 908 757-7703
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/5/2025
Certificate Expiration Date 4/4/2027
Facility Type Pharmacy
Lab Director CHARLY NASSER

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