31D2287590 CLIA NUMBER - WALGREENS 19628

Laboratory Demographics

  • CLIA Code: 31D2287590
  • Facility Name: WALGREENS 19628
  • Facility Address: 16 LYONS MALL
    BASKING RIDGE, NJ
    ZIP 07920
  • Facility Phone: 908 766-7920
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AMY B. DESAI
  • NPI Number: 1417472010
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2287590
LAB Type Pharmacy
Facility Name WALGREENS 19628
Street 16 LYONS MALL
City BASKING RIDGE
State NJ
ZIP 07920
Phone 908 766-7920
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/15/2025
Certificate Expiration Date 8/14/2027
Facility Type Pharmacy
Lab Director AMY B. DESAI

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