31D2205513 CLIA NUMBER - WALGREENS#05986

Laboratory Demographics

  • CLIA Code: 31D2205513
  • Facility Name: WALGREENS#05986
  • Facility Address: 590 CROSS KEYS ROAD
    SICKLERVILLE, NJ
    ZIP 08081
  • Facility Phone: 856 629-6507
  • Facility Type: Other - COVID 19 TEST SITE
  • Facility Type: Waiver
  • Lab Director: HYUNSEOK CHO
  • NPI Number: 1063427052
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2205513
LAB Type Other - COVID 19 TEST SITE
Facility Name WALGREENS#05986
Street 590 CROSS KEYS ROAD
City SICKLERVILLE
State NJ
ZIP 08081
Phone 856 629-6507
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/15/2024
Certificate Expiration Date 12/14/2026
Facility Type Other - COVID 19 TEST SITE
Lab Director HYUNSEOK CHO

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