31D2035060 CLIA NUMBER - WALGREENS#13719

Laboratory Demographics

  • CLIA Code: 31D2035060
  • Facility Name: WALGREENS#13719
  • Facility Address: 321 VALLEY ROAD
    WAYNE, NJ
    ZIP 07470
  • Facility Phone: 973 559-0909
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TIAN YUAN
  • NPI Number: 1801038872
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2035060
LAB Type Pharmacy
Facility Name WALGREENS#13719
Street 321 VALLEY ROAD
City WAYNE
State NJ
ZIP 07470
Phone 973 559-0909
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/10/2025
Certificate Expiration Date 8/9/2027
Facility Type Pharmacy
Lab Director TIAN YUAN

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