31D2290868 CLIA NUMBER - WALGREENS 15238

Laboratory Demographics

  • CLIA Code: 31D2290868
  • Facility Name: WALGREENS 15238
  • Facility Address: 1620 OAK TREE ROAD
    EDISON, NJ
    ZIP 08820
  • Facility Phone: 732 318-3046
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: XIAONA SUN
  • NPI Number: 1154563104
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2290868
LAB Type Pharmacy
Facility Name WALGREENS 15238
Street 1620 OAK TREE ROAD
City EDISON
State NJ
ZIP 08820
Phone 732 318-3046
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/3/2023
Certificate Expiration Date 10/2/2025
Facility Type Pharmacy
Lab Director XIAONA SUN

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