31D2036283 CLIA NUMBER - WALGREENS#4545

Laboratory Demographics

  • CLIA Code: 31D2036283
  • Facility Name: WALGREENS#4545
  • Facility Address: 17 GREEN ST
    WOODBRIDGE, NJ
    ZIP 07095
  • Facility Phone: 732 326-9782
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AHMED AHMED
  • NPI Number: 1164437158
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2036283
LAB Type Pharmacy
Facility Name WALGREENS#4545
Street 17 GREEN ST
City WOODBRIDGE
State NJ
ZIP 07095
Phone 732 326-9782
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/16/2023
Certificate Expiration Date 11/15/2025
Facility Type Pharmacy
Lab Director AHMED AHMED

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