31D2036576 CLIA NUMBER - WALGREENS#07825

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Laboratory Demographics

CLIA Number: 31D2036576

Facility Name: WALGREENS#07825

Facility Address:
100 SPRINGSIDE RANCOCAS ROAD
MOUNT HOLLY, NJ
ZIP 08060
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Facility Phone Number: 609 871-5888

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1528073418

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	31D2036576
LAB Type	Pharmacy
Facility Name	WALGREENS#07825
Street	100 SPRINGSIDE RANCOCAS ROAD
City	MOUNT HOLLY
State	NJ
ZIP	08060
Phone	609 871-5888
CertificateType	4
CertificateEffectiveDate	7/29/2023
CertificateExpirationDate	7/28/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024