31D2205295 CLIA NUMBER - WALGREENS # 09932

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Laboratory Demographics

CLIA Number: 31D2205295

Facility Name: WALGREENS # 09932

Facility Address:
81 PLAINFIELD AVENUE
EDISON, NJ
ZIP 08817
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Facility Phone Number: 732 572-2925

Facility Type: Other - COVID 19 TEST SITE

Certificate Type: Waiver

NPI Number: 1356623920

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name	Field Value
CLIA Number	31D2205295
LAB Type	Other - COVID 19 TEST SITE
Facility Name	WALGREENS # 09932
Street	81 PLAINFIELD AVENUE
City	EDISON
State	NJ
ZIP	08817
Phone	732 572-2925
CertificateType	4
CertificateEffectiveDate	12/14/2022
CertificateExpirationDate	12/13/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024