31D2035880 CLIA NUMBER - WALGREENS #06983

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Laboratory Demographics

CLIA Number: 31D2035880

Facility Name: WALGREENS #06983

Facility Address:
920 HAMILTON ST
SOMERSET, NJ
ZIP 08873
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Facility Phone Number: 732 545-9069

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1083629976

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	31D2035880
LAB Type	Pharmacy
Facility Name	WALGREENS #06983
Street	920 HAMILTON ST
City	SOMERSET
State	NJ
ZIP	08873
Phone	732 545-9069
CertificateType	4
CertificateEffectiveDate	4/20/2023
CertificateExpirationDate	4/19/2025
FacilityType	Waiver

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