31D2036651 CLIA NUMBER - WALGREENS#03908

Laboratory Demographics

  • CLIA Code: 31D2036651
  • Facility Name: WALGREENS#03908
  • Facility Address: 430 HARMONY ROAD
    JACKSON TOWNSHIP, NJ
    ZIP 08527
  • Facility Phone: 732 928-6246
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PATRYCJA L. MIKA
  • NPI Number: 1346319779
  • Taxonomy: 333600000X - Pharmacy

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/25/2025
Certificate Expiration Date 5/24/2027
Facility Type Pharmacy
Lab Director PATRYCJA L. MIKA

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