31D2290767 CLIA NUMBER - WALGREENS 17293

Laboratory Demographics

CLIA Number: 31D2290767

Facility Name: WALGREENS 17293

Facility Address:
301 N HARRISON STE 23A
PRINCETON, NJ
ZIP 08540
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Facility Phone Number: 609 924-6125

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1073030128

Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

CLIA Record

Field Name	Field Value
CLIA Number	31D2290767
LAB Type	Pharmacy
Facility Name	WALGREENS 17293
Street	301 N HARRISON STE 23A
City	PRINCETON
State	NJ
ZIP	08540
Phone	609 924-6125
CertificateType	4
CertificateEffectiveDate	9/29/2023
CertificateExpirationDate	9/28/2025
FacilityType	Waiver

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