31D2210209 CLIA NUMBER - WALGREENS #19110

Laboratory Demographics

  • CLIA Code: 31D2210209
  • Facility Name: WALGREENS #19110
  • Facility Address: 636 WHITE HORSE PIKE
    ABSECON, NJ
    ZIP 08201
  • Facility Phone: 609 484-0078
  • Facility Type: Other - COVID TESTING
  • Facility Type: Waiver
  • Lab Director: HUSSEIN I. SHAHIN
  • NPI Number: 1962926121
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 31D2210209
LAB Type Other - COVID TESTING
Facility Name WALGREENS #19110
Street 636 WHITE HORSE PIKE
City ABSECON
State NJ
ZIP 08201
Phone 609 484-0078
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/20/2025
Certificate Expiration Date 1/19/2027
Facility Type Other - COVID TESTING
Lab Director HUSSEIN I. SHAHIN

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