31D2036831 CLIA NUMBER - WALGREENS#12003

Laboratory Demographics

  • CLIA Code: 31D2036831
  • Facility Name: WALGREENS#12003
  • Facility Address: 5000 PARK BLVD
    WILDWOOD, NJ
    ZIP 08260
  • Facility Phone: 609 522-1291
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DAVID S. FASCIA II
  • NPI Number: 1023242609
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 31D2036831
LAB Type Pharmacy
Facility Name WALGREENS#12003
Street 5000 PARK BLVD
City WILDWOOD
State NJ
ZIP 08260
Phone 609 522-1291
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/8/2025
Certificate Expiration Date 3/7/2027
Facility Type Pharmacy
Lab Director DAVID S. FASCIA II

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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