31D2036874 CLIA NUMBER - WALGREENS#06090

Laboratory Demographics

  • CLIA Code: 31D2036874
  • Facility Name: WALGREENS#06090
  • Facility Address: 3125 STATE ROUTE 27
    FRANKLIN PARK, NJ
    ZIP 08823
  • Facility Phone: 732 398-3807
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SHILPA BIDAYE
  • NPI Number: 1538174420
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2036874
LAB Type Pharmacy
Facility Name WALGREENS#06090
Street 3125 STATE ROUTE 27
City FRANKLIN PARK
State NJ
ZIP 08823
Phone 732 398-3807
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/12/2025
Certificate Expiration Date 10/11/2027
Facility Type Pharmacy
Lab Director SHILPA BIDAYE

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