31D2214364 CLIA NUMBER - WALGREENS # 19955

Laboratory Demographics

  • CLIA Code: 31D2214364
  • Facility Name: WALGREENS # 19955
  • Facility Address: 544 ALLEN ROAD
    BASKING RIDGE, NJ
    ZIP 07920
  • Facility Phone: 908 470-2745
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ALLA GUTKIN
  • NPI Number: 1255855979
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2214364
LAB Type Pharmacy
Facility Name WALGREENS # 19955
Street 544 ALLEN ROAD
City BASKING RIDGE
State NJ
ZIP 07920
Phone 908 470-2745
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/22/2025
Certificate Expiration Date 2/21/2027
Facility Type Pharmacy
Lab Director ALLA GUTKIN

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This page was last updated on: 6/4/2025