31D2036880 CLIA NUMBER - WALGREENS#07974

Laboratory Demographics

  • CLIA Code: 31D2036880
  • Facility Name: WALGREENS#07974
  • Facility Address: 1096 ROUTE 33
    TRENTON, NJ
    ZIP 08690
  • Facility Phone: 609 689-3060
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHARLES OWUSU-MENSAH
  • NPI Number: 1609919687
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2036880
LAB Type Pharmacy
Facility Name WALGREENS#07974
Street 1096 ROUTE 33
City TRENTON
State NJ
ZIP 08690
Phone 609 689-3060
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/10/2025
Certificate Expiration Date 8/9/2027
Facility Type Pharmacy
Lab Director CHARLES OWUSU-MENSAH

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