31D2035061 CLIA NUMBER - WALGREENS#15000

Laboratory Demographics

  • CLIA Code: 31D2035061
  • Facility Name: WALGREENS#15000
  • Facility Address: 153 MAIN ST
    LINCOLN PARK, NJ
    ZIP 07035
  • Facility Phone: 973 646-9001
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: VLADIMIR L. NASTOSKI
  • NPI Number: 1750523726
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2035061
LAB Type Pharmacy
Facility Name WALGREENS#15000
Street 153 MAIN ST
City LINCOLN PARK
State NJ
ZIP 07035
Phone 973 646-9001
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/28/2025
Certificate Expiration Date 7/27/2027
Facility Type Pharmacy
Lab Director VLADIMIR L. NASTOSKI

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