31D2035915 CLIA NUMBER - WALGREENS#13706

Laboratory Demographics

  • CLIA Code: 31D2035915
  • Facility Name: WALGREENS#13706
  • Facility Address: 110 MOUNTAIN BLVD EXT
    WARREN, NJ
    ZIP 07059
  • Facility Phone: 732 907-6745
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MATTHEW JU
  • NPI Number: 1225270275
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2035915
LAB Type Pharmacy
Facility Name WALGREENS#13706
Street 110 MOUNTAIN BLVD EXT
City WARREN
State NJ
ZIP 07059
Phone 732 907-6745
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/8/2025
Certificate Expiration Date 9/7/2027
Facility Type Pharmacy
Lab Director MATTHEW JU

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