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31D2240536 CLIA NUMBER - WALGREENS #15595

Laboratory Demographics

CLIA Number: 31D2240536

Facility Name: WALGREENS #15595

Facility Address:
587 MILLBURN AVE
SHORT HILLS, NJ
ZIP 07078
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Facility Phone Number: 973 376-0137

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1700891785

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 31D2240536
LAB Type Pharmacy
Facility Name WALGREENS #15595
Street 587 MILLBURN AVE
City SHORT HILLS
State NJ
ZIP 07078
Phone 973 376-0137
CertificateType 4
CertificateEffectiveDate 10/20/2023
CertificateExpirationDate 10/19/2025
FacilityType Waiver

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