31D2036528 CLIA NUMBER - WALGREENS#06902

Laboratory Demographics

  • CLIA Code: 31D2036528
  • Facility Name: WALGREENS#06902
  • Facility Address: 1111 NORTH HIGH STREET
    MILLVILLE, NJ
    ZIP 08332
  • Facility Phone: 856 293-9717
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANTHONY J. BRADLEY
  • NPI Number: 1356356240
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2036528
LAB Type Pharmacy
Facility Name WALGREENS#06902
Street 1111 NORTH HIGH STREET
City MILLVILLE
State NJ
ZIP 08332
Phone 856 293-9717
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/24/2025
Certificate Expiration Date 3/23/2027
Facility Type Pharmacy
Lab Director ANTHONY J. BRADLEY

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