31D2036841 CLIA NUMBER - WALGREENS#04544

Laboratory Demographics

  • CLIA Code: 31D2036841
  • Facility Name: WALGREENS#04544
  • Facility Address: 520 CONVERY BLVD
    PERTH AMBOY, NJ
    ZIP 08861
  • Facility Phone: 732 826-9222
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANN MARIE SOLIMAN
  • NPI Number: 1619982691
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2036841
LAB Type Pharmacy
Facility Name WALGREENS#04544
Street 520 CONVERY BLVD
City PERTH AMBOY
State NJ
ZIP 08861
Phone 732 826-9222
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/17/2025
Certificate Expiration Date 2/16/2027
Facility Type Pharmacy
Lab Director ANN MARIE SOLIMAN

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This page was last updated on: 6/4/2025