31D2036814 CLIA NUMBER - WALGREENS#04059

Laboratory Demographics

  • CLIA Code: 31D2036814
  • Facility Name: WALGREENS#04059
  • Facility Address: 100 WHITE HORSE PIKE N
    MAGNOLIA, NJ
    ZIP 08049
  • Facility Phone: 856 782-2237
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOANNE B. TRAN
  • NPI Number: 1437164423
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2036814
LAB Type Pharmacy
Facility Name WALGREENS#04059
Street 100 WHITE HORSE PIKE N
City MAGNOLIA
State NJ
ZIP 08049
Phone 856 782-2237
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/13/2025
Certificate Expiration Date 5/12/2027
Facility Type Pharmacy
Lab Director JOANNE B. TRAN

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