31D2035785 CLIA NUMBER - WALGREENS#06748

Laboratory Demographics

  • CLIA Code: 31D2035785
  • Facility Name: WALGREENS#06748
  • Facility Address: 401 RAHWAY AVE
    ELIZABETH, NJ
    ZIP 07202
  • Facility Phone: 908 527-9203
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: IBRAM ATALLA
  • NPI Number: 1164437059
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2035785
LAB Type Pharmacy
Facility Name WALGREENS#06748
Street 401 RAHWAY AVE
City ELIZABETH
State NJ
ZIP 07202
Phone 908 527-9203
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 IBRAM ATALLA

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