31D2036878 CLIA NUMBER - WALGREENS#07921

Laboratory Demographics

  • CLIA Code: 31D2036878
  • Facility Name: WALGREENS#07921
  • Facility Address: 2546 HOOPER AVE
    BRICK, NJ
    ZIP 08723
  • Facility Phone: 732 477-3428
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JINAL SHAH
  • NPI Number: 1427063312
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 31D2036878
LAB Type Pharmacy
Facility Name WALGREENS#07921
Street 2546 HOOPER AVE
City BRICK
State NJ
ZIP 08723
Phone 732 477-3428
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/30/2023
Certificate Expiration Date 11/29/2025
Facility Type Pharmacy
Lab Director JINAL SHAH

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