31D2035047 CLIA NUMBER - WALGREENS 13704

Laboratory Demographics

  • CLIA Code: 31D2035047
  • Facility Name: WALGREENS 13704
  • Facility Address: 25 N SPRUCE ST
    RAMSEY, NJ
    ZIP 07446
  • Facility Phone: 201 661-9523
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: THOMAS Y. CHONG MUNOZ
  • NPI Number: 1972746923
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2035047
LAB Type Pharmacy
Facility Name WALGREENS 13704
Street 25 N SPRUCE ST
City RAMSEY
State NJ
ZIP 07446
Phone 201 661-9523
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 THOMAS Y. CHONG MUNOZ

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