31D2035767 CLIA NUMBER - WALGREENS#02470

Laboratory Demographics

  • CLIA Code: 31D2035767
  • Facility Name: WALGREENS#02470
  • Facility Address: 45 EISENHOWER PKWY
    ROSELAND, NJ
    ZIP 07068
  • Facility Phone: 973 364-7692
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANTIONETTE L. NOLAN
  • NPI Number: 1750453833
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2035767
LAB Type Pharmacy
Facility Name WALGREENS#02470
Street 45 EISENHOWER PKWY
City ROSELAND
State NJ
ZIP 07068
Phone 973 364-7692
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 ANTIONETTE L. NOLAN

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