31D2212394 CLIA NUMBER - WALGREENS #19757

Laboratory Demographics

CLIA Number: 31D2212394

Facility Name: WALGREENS #19757

Facility Address:
78 LEONARDVILLE ROAD
BELFORD, NJ
ZIP 07718
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Facility Phone Number: 732 471-9044

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1477077170

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	31D2212394
LAB Type	Pharmacy
Facility Name	WALGREENS #19757
Street	78 LEONARDVILLE ROAD
City	BELFORD
State	NJ
ZIP	07718
Phone	732 471-9044
CertificateType	4
CertificateEffectiveDate	2/4/2023
CertificateExpirationDate	2/3/2025
FacilityType	Waiver

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