31D2036871 CLIA NUMBER - WALGREENS#05111

Laboratory Demographics

  • CLIA Code: 31D2036871
  • Facility Name: WALGREENS#05111
  • Facility Address: 1198 STATE ROUTE 36
    HAZLET, NJ
    ZIP 07730
  • Facility Phone: 732 264-2881
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: VEENU PAL
  • NPI Number: 1801801790
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2036871
LAB Type Pharmacy
Facility Name WALGREENS#05111
Street 1198 STATE ROUTE 36
City HAZLET
State NJ
ZIP 07730
Phone 732 264-2881
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/28/2025
Certificate Expiration Date 7/27/2027
Facility Type Pharmacy
Lab Director VEENU PAL

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