31D2219085 CLIA NUMBER - WALGREENS#13440

Laboratory Demographics

CLIA Number: 31D2219085

Facility Name: WALGREENS#13440

Facility Address:
125 MORRIS AVE
SPRINGFIELD, NJ
ZIP 07081
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Facility Phone Number: 973 564-5201

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1639518384

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 31D2219085
LAB Type Pharmacy
Facility Name WALGREENS#13440
Street 125 MORRIS AVE
City SPRINGFIELD
State NJ
ZIP 07081
Phone 973 564-5201
CertificateType 4
CertificateEffectiveDate 4/1/2023
CertificateExpirationDate 3/31/2025
FacilityType Waiver

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