31D2035176 CLIA NUMBER - WALGREENS#11358

Laboratory Demographics

  • CLIA Code: 31D2035176
  • Facility Name: WALGREENS#11358
  • Facility Address: 22 WEST MAIN ST
    DENVILLE, NJ
    ZIP 07834
  • Facility Phone: 973 625-0371
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PAUL J. RIEDINGER
  • NPI Number: 1336398072
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2035176
LAB Type Pharmacy
Facility Name WALGREENS#11358
Street 22 WEST MAIN ST
City DENVILLE
State NJ
ZIP 07834
Phone 973 625-0371
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/25/2025
Certificate Expiration Date 5/24/2027
Facility Type Pharmacy
Lab Director PAUL J. RIEDINGER

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