31D2036572 CLIA NUMBER - WALGREENS#05836

Laboratory Demographics

  • CLIA Code: 31D2036572
  • Facility Name: WALGREENS#05836
  • Facility Address: 1408 DELSEA DR
    WOODBURY, NJ
    ZIP 08096
  • Facility Phone: 856 845-7863
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NIRMITA S. SHAH
  • NPI Number: 1366457251
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2036572
LAB Type Pharmacy
Facility Name WALGREENS#05836
Street 1408 DELSEA DR
City WOODBURY
State NJ
ZIP 08096
Phone 856 845-7863
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/28/2025
Certificate Expiration Date 7/27/2027
Facility Type Pharmacy
Lab Director NIRMITA S. SHAH

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