31D2287597 CLIA NUMBER - WALGREENS 17821

Laboratory Demographics

  • CLIA Code: 31D2287597
  • Facility Name: WALGREENS 17821
  • Facility Address: 6701 VENTNOR AVE
    VENTNOR CITY, NJ
    ZIP 08406
  • Facility Phone: 609 487-8800
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DEMI NGUYEN
  • NPI Number: 1386168466
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2287597
LAB Type Pharmacy
Facility Name WALGREENS 17821
Street 6701 VENTNOR AVE
City VENTNOR CITY
State NJ
ZIP 08406
Phone 609 487-8800
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 DEMI NGUYEN

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