31D2035776 CLIA NUMBER - WALGREENS#10745

Laboratory Demographics

  • CLIA Code: 31D2035776
  • Facility Name: WALGREENS#10745
  • Facility Address: 563 FRANKLIN TPK
    RAMSEY, NJ
    ZIP 07446
  • Facility Phone: 201 818-8796
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MARINA GOLDUBER
  • NPI Number: 1184823742
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2035776
LAB Type Pharmacy
Facility Name WALGREENS#10745
Street 563 FRANKLIN TPK
City RAMSEY
State NJ
ZIP 07446
Phone 201 818-8796
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/22/2025
Certificate Expiration Date 1/21/2027
Facility Type Pharmacy
Lab Director MARINA GOLDUBER

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