31D2036227 CLIA NUMBER - WALGREENS#06174

Laboratory Demographics

  • CLIA Code: 31D2036227
  • Facility Name: WALGREENS#06174
  • Facility Address: 13 N BLACK HORSE PIKE
    WILLIAMSTOWN, NJ
    ZIP 08094
  • Facility Phone: 856 740-2509
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MOHAMED OSMAN
  • NPI Number: 1275548166
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2036227
LAB Type Pharmacy
Facility Name WALGREENS#06174
Street 13 N BLACK HORSE PIKE
City WILLIAMSTOWN
State NJ
ZIP 08094
Phone 856 740-2509
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/12/2025
Certificate Expiration Date 10/11/2027
Facility Type Pharmacy
Lab Director MOHAMED OSMAN

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