31D2035175 CLIA NUMBER - WALGREENS #11507

Laboratory Demographics

  • CLIA Code: 31D2035175
  • Facility Name: WALGREENS #11507
  • Facility Address: 1502 UNION VALLEY ROAD
    WEST MILFORD, NJ
    ZIP 07480
  • Facility Phone: 973 728-3172
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ERINY SHENODA
  • NPI Number: 1063642478
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2035175
LAB Type Pharmacy
Facility Name WALGREENS #11507
Street 1502 UNION VALLEY ROAD
City WEST MILFORD
State NJ
ZIP 07480
Phone 973 728-3172
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/22/2025
Certificate Expiration Date 4/21/2027
Facility Type Pharmacy
Lab Director ERINY SHENODA

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