31D2224250 CLIA NUMBER - WALGREENS #10709

Laboratory Demographics

CLIA Number: 31D2224250

Facility Name: WALGREENS #10709

Facility Address:
1702 KUSER ROAD
HAMILTON, NJ
ZIP 08610
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Facility Phone Number: 609 438-3000

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1407227317

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 31D2224250
LAB Type Pharmacy
Facility Name WALGREENS #10709
Street 1702 KUSER ROAD
City HAMILTON
State NJ
ZIP 08610
Phone 609 438-3000
CertificateType 4
CertificateEffectiveDate 5/12/2023
CertificateExpirationDate 5/11/2025
FacilityType Waiver

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