31D2036651 CLIA NUMBER - WALGREENS#03908

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Laboratory Demographics

CLIA Number: 31D2036651

Facility Name: WALGREENS#03908

Facility Address:
430 HARMONY ROAD
JACKSON TOWNSHIP, NJ
ZIP 08527
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Facility Phone Number: 732 928-6246

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1346319779

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	31D2036651
LAB Type	Pharmacy
Facility Name	WALGREENS#03908
Street	430 HARMONY ROAD
City	JACKSON TOWNSHIP
State	NJ
ZIP	08527
Phone	732 928-6246
CertificateType	4
CertificateEffectiveDate	5/25/2023
CertificateExpirationDate	5/24/2025
FacilityType	Waiver

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