31D2035881 CLIA NUMBER - WALGREENS#07056

Laboratory Demographics

  • CLIA Code: 31D2035881
  • Facility Name: WALGREENS#07056
  • Facility Address: 555INMAN AVE
    COLONIA, NJ
    ZIP 07067
  • Facility Phone: 732 396-8701
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MAGDALENA A. GRUCHALA-FERREIRA
  • NPI Number: 1215942545
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2035881
LAB Type Pharmacy
Facility Name WALGREENS#07056
Street 555INMAN AVE
City COLONIA
State NJ
ZIP 07067
Phone 732 396-8701
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 MAGDALENA A. GRUCHALA-FERREIRA

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