31D2036869 CLIA NUMBER - WALGREENS#04963

Laboratory Demographics

  • CLIA Code: 31D2036869
  • Facility Name: WALGREENS#04963
  • Facility Address: 425 W MAIN ST
    FREEHOLD, NJ
    ZIP 07728
  • Facility Phone: 732 462-5841
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DAVID BENINDA
  • NPI Number: 1245245232
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2036869
LAB Type Pharmacy
Facility Name WALGREENS#04963
Street 425 W MAIN ST
City FREEHOLD
State NJ
ZIP 07728
Phone 732 462-5841
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/14/2025
Certificate Expiration Date 5/13/2027
Facility Type Pharmacy
Lab Director DAVID BENINDA

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