31D2035883 CLIA NUMBER - WALGREENS#07124

Laboratory Demographics

  • CLIA Code: 31D2035883
  • Facility Name: WALGREENS#07124
  • Facility Address: 440 S WASHINGTON AVE # 456
    PISCATAWAY, NJ
    ZIP 08854
  • Facility Phone: 732 424-3666
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SAGAR S. SHAH
  • NPI Number: 1891700787
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2035883
LAB Type Pharmacy
Facility Name WALGREENS#07124
Street 440 S WASHINGTON AVE # 456
City PISCATAWAY
State NJ
ZIP 08854
Phone 732 424-3666
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/18/2025
Certificate Expiration Date 5/17/2027
Facility Type Pharmacy
Lab Director SAGAR S. SHAH

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