31D2219642 CLIA NUMBER - WALGREENS #15186

Laboratory Demographics

  • CLIA Code: 31D2219642
  • Facility Name: WALGREENS #15186
  • Facility Address: 339 MATAWAN ROAD
    MATAWAN, NJ
    ZIP 07747
  • Facility Phone: (732) 705-9254
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SCOTT MYLROIE
  • NPI Number: 1164821070
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2219642
LAB Type Pharmacy
Facility Name WALGREENS #15186
Street 339 MATAWAN ROAD
City MATAWAN
State NJ
ZIP 07747
Phone 7327059254
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/7/2025
Certificate Expiration Date 4/6/2027
Facility Type Pharmacy
Lab Director SCOTT MYLROIE

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This page was last updated on: 5/18/2026