31D2230834 CLIA NUMBER - WALGREENS #19878

Laboratory Demographics

  • CLIA Code: 31D2230834
  • Facility Name: WALGREENS #19878
  • Facility Address: 350 N MAIN STREET
    WHARTON, NJ
    ZIP 07885
  • Facility Phone: 973 361-6810
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NOOR FATIMA
  • NPI Number: 1841715281
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2230834
LAB Type Pharmacy
Facility Name WALGREENS #19878
Street 350 N MAIN STREET
City WHARTON
State NJ
ZIP 07885
Phone 973 361-6810
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/28/2025
Certificate Expiration Date 7/27/2027
Facility Type Pharmacy
Lab Director NOOR FATIMA

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