31D2035180 CLIA NUMBER - WALGREENS#11155

Laboratory Demographics

  • CLIA Code: 31D2035180
  • Facility Name: WALGREENS#11155
  • Facility Address: 409 RAMAPO VALLEY ROAD
    OAKLAND, NJ
    ZIP 07436
  • Facility Phone: 201 337-2349
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ALIN KAZANJIAN
  • NPI Number: 1669621231
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2035180
LAB Type Pharmacy
Facility Name WALGREENS#11155
Street 409 RAMAPO VALLEY ROAD
City OAKLAND
State NJ
ZIP 07436
Phone 201 337-2349
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/17/2025
Certificate Expiration Date 2/16/2027
Facility Type Pharmacy
Lab Director ALIN KAZANJIAN

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