31D2036311 CLIA NUMBER - WALGREENS#12593

Laboratory Demographics

  • CLIA Code: 31D2036311
  • Facility Name: WALGREENS#12593
  • Facility Address: 1303 SAINT GEORGES AVE
    COLONIA, NJ
    ZIP 07067
  • Facility Phone: 732 827-2904
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KIMBERLY HAN
  • NPI Number: 1417189911
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2036311
LAB Type Pharmacy
Facility Name WALGREENS#12593
Street 1303 SAINT GEORGES AVE
City COLONIA
State NJ
ZIP 07067
Phone 732 827-2904
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/31/2025
Certificate Expiration Date 8/30/2027
Facility Type Pharmacy
Lab Director KIMBERLY HAN

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