31D2036536 CLIA NUMBER - WALGREENS#03731

Laboratory Demographics

  • CLIA Code: 31D2036536
  • Facility Name: WALGREENS#03731
  • Facility Address: 4601 WESTFIELD AVE
    PENNSAUKEN, NJ
    ZIP 08110
  • Facility Phone: 856 663-3405
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PURVITT PATEL
  • NPI Number: 1619982600
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2036536
LAB Type Pharmacy
Facility Name WALGREENS#03731
Street 4601 WESTFIELD AVE
City PENNSAUKEN
State NJ
ZIP 08110
Phone 856 663-3405
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/5/2025
Certificate Expiration Date 4/4/2027
Facility Type Pharmacy
Lab Director PURVITT PATEL

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