31D2036223 CLIA NUMBER - WALGREENS#05620

Laboratory Demographics

  • CLIA Code: 31D2036223
  • Facility Name: WALGREENS#05620
  • Facility Address: 945 HIGHWAY 34
    MATAWAN, NJ
    ZIP 07747
  • Facility Phone: 732 583-7964
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LAKHMAN TAMILA
  • NPI Number: 1265447155
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2036223
LAB Type Pharmacy
Facility Name WALGREENS#05620
Street 945 HIGHWAY 34
City MATAWAN
State NJ
ZIP 07747
Phone 732 583-7964
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/28/2025
Certificate Expiration Date 7/27/2027
Facility Type Pharmacy
Lab Director LAKHMAN TAMILA

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