31D2221118 CLIA NUMBER - WALGREENS#19745

Laboratory Demographics

  • CLIA Code: 31D2221118
  • Facility Name: WALGREENS#19745
  • Facility Address: 11 S WHITE HORSE PIKE
    HAMMONTON, NJ
    ZIP 08037
  • Facility Phone: 609 567-0177
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHRISTINA PERSIANO
  • NPI Number: 1942724109
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2221118
LAB Type Pharmacy
Facility Name WALGREENS#19745
Street 11 S WHITE HORSE PIKE
City HAMMONTON
State NJ
ZIP 08037
Phone 609 567-0177
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/19/2025
Certificate Expiration Date 4/18/2027
Facility Type Pharmacy
Lab Director CHRISTINA PERSIANO

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