31D2035139 CLIA NUMBER - WALGREENS#13466

Laboratory Demographics

  • CLIA Code: 31D2035139
  • Facility Name: WALGREENS#13466
  • Facility Address: 200 BALDWIN ROAD, SUITE 200
    PARSIPPANY, NJ
    ZIP 07054
  • Facility Phone: 973 939-2691
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AMGAD AWAD
  • NPI Number: 1124260112
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2035139
LAB Type Pharmacy
Facility Name WALGREENS#13466
Street 200 BALDWIN ROAD, SUITE 200
City PARSIPPANY
State NJ
ZIP 07054
Phone 973 939-2691
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/5/2025
Certificate Expiration Date 4/4/2027
Facility Type Pharmacy
Lab Director AMGAD AWAD

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