31D2035057 CLIA NUMBER - WALGREENS#13707

Laboratory Demographics

  • CLIA Code: 31D2035057
  • Facility Name: WALGREENS#13707
  • Facility Address: 519 CEDAR HILL AVE
    WYCKOFF, NJ
    ZIP 07481
  • Facility Phone: 201 639-0123
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LARISA LANDO
  • NPI Number: 1154563112
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2035057
LAB Type Pharmacy
Facility Name WALGREENS#13707
Street 519 CEDAR HILL AVE
City WYCKOFF
State NJ
ZIP 07481
Phone 201 639-0123
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/14/2025
Certificate Expiration Date 8/13/2027
Facility Type Pharmacy
Lab Director LARISA LANDO

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