31D2036938 CLIA NUMBER - WALGREENS#05200

Laboratory Demographics

  • CLIA Code: 31D2036938
  • Facility Name: WALGREENS#05200
  • Facility Address: 1905 CORLIES AVE
    NEPTUNE, NJ
    ZIP 07753
  • Facility Phone: (732) 988-2100
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MARK A. MARINO
  • NPI Number: 1659391787
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2036938
LAB Type Pharmacy
Facility Name WALGREENS#05200
Street 1905 CORLIES AVE
City NEPTUNE
State NJ
ZIP 07753
Phone 7329882100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/16/2025
Certificate Expiration Date 8/15/2027
Facility Type Pharmacy
Lab Director MARK A. MARINO

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This page was last updated on: 5/18/2026