31D2036221 CLIA NUMBER - WALGREENS #07528

Laboratory Demographics

  • CLIA Code: 31D2036221
  • Facility Name: WALGREENS #07528
  • Facility Address: 9 LANDIS AVENUE
    BRIDGETON, NJ
    ZIP 08302
  • Facility Phone: 908 842-3607
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ROBERT J. MACK
  • NPI Number: 1073528964
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2036221
LAB Type Pharmacy
Facility Name WALGREENS #07528
Street 9 LANDIS AVENUE
City BRIDGETON
State NJ
ZIP 08302
Phone 908 842-3607
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/27/2024
Certificate Expiration Date 8/26/2026
Facility Type Pharmacy
Lab Director ROBERT J. MACK

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This page was last updated on: 6/4/2025