31D2218449 CLIA NUMBER - WALGREENS #18997

Laboratory Demographics

  • CLIA Code: 31D2218449
  • Facility Name: WALGREENS #18997
  • Facility Address: 6050 BLACK HORSE PIKE
    EGG HARBOR TWP, NJ
    ZIP 08234
  • Facility Phone: 609 484-7065
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: THOMAS KOTRONIS
  • NPI Number: 1093238024
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2218449
LAB Type Pharmacy
Facility Name WALGREENS #18997
Street 6050 BLACK HORSE PIKE
City EGG HARBOR TWP
State NJ
ZIP 08234
Phone 609 484-7065
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/29/2025
Certificate Expiration Date 3/28/2027
Facility Type Pharmacy
Lab Director THOMAS KOTRONIS

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