31D2035777 CLIA NUMBER - WALGREENS#05333

Laboratory Demographics

  • CLIA Code: 31D2035777
  • Facility Name: WALGREENS#05333
  • Facility Address: 3333 PARK AVE
    UNION CITY, NJ
    ZIP 07087
  • Facility Phone: 201 558-0094
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JUM BUM AN
  • NPI Number: 1336154327
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2035777
LAB Type Pharmacy
Facility Name WALGREENS#05333
Street 3333 PARK AVE
City UNION CITY
State NJ
ZIP 07087
Phone 201 558-0094
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/17/2025
Certificate Expiration Date 3/16/2027
Facility Type Pharmacy
Lab Director JUM BUM AN

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