31D2250332 CLIA NUMBER - WALGREENS #02513

Laboratory Demographics

  • CLIA Code: 31D2250332
  • Facility Name: WALGREENS #02513
  • Facility Address: 421 RYDERS LN
    EAST BRUNSWICK, NJ
    ZIP 08816
  • Facility Phone: 732 254-6509
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOHN PANKO
  • NPI Number: 1528073517
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2250332
LAB Type Pharmacy
Facility Name WALGREENS #02513
Street 421 RYDERS LN
City EAST BRUNSWICK
State NJ
ZIP 08816
Phone 732 254-6509
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/26/2024
Certificate Expiration Date 1/25/2026
Facility Type Pharmacy
Lab Director JOHN PANKO

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This page was last updated on: 6/4/2025