31D2035889 CLIA NUMBER - WALGREENS#12564

Laboratory Demographics

  • CLIA Code: 31D2035889
  • Facility Name: WALGREENS#12564
  • Facility Address: 706 ROUTE 206
    HILLSBOROUGH, NJ
    ZIP 08844
  • Facility Phone: 908 281-6539
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PRUTHA D. SHAH
  • NPI Number: 1659501070
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2035889
LAB Type Pharmacy
Facility Name WALGREENS#12564
Street 706 ROUTE 206
City HILLSBOROUGH
State NJ
ZIP 08844
Phone 908 281-6539
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/14/2025
Certificate Expiration Date 8/13/2027
Facility Type Pharmacy
Lab Director PRUTHA D. SHAH

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