31D2035770 CLIA NUMBER - WALGREENS#10379

Laboratory Demographics

  • CLIA Code: 31D2035770
  • Facility Name: WALGREENS#10379
  • Facility Address: 100 E MCFARLAN ST
    DOVER, NJ
    ZIP 07801
  • Facility Phone: 973 328-1355
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CAROL FATTAL
  • NPI Number: 1427247725
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2035770
LAB Type Pharmacy
Facility Name WALGREENS#10379
Street 100 E MCFARLAN ST
City DOVER
State NJ
ZIP 07801
Phone 973 328-1355
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/23/2023
Certificate Expiration Date 6/22/2025
Facility Type Pharmacy
Lab Director CAROL FATTAL

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This page was last updated on: 3/20/2025