31D2035795 CLIA NUMBER - WALGREENS#13686

Laboratory Demographics

  • CLIA Code: 31D2035795
  • Facility Name: WALGREENS#13686
  • Facility Address: 1633 SPRINGFIELD AVE
    MAPLEWOOD, NJ
    ZIP 07040
  • Facility Phone: (973) 761-7391
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHANDNI PATEL
  • NPI Number: 1174806756
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2035795
LAB Type Pharmacy
Facility Name WALGREENS#13686
Street 1633 SPRINGFIELD AVE
City MAPLEWOOD
State NJ
ZIP 07040
Phone 9737617391
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/14/2025
Certificate Expiration Date 8/13/2027
Facility Type Pharmacy
Lab Director CHANDNI PATEL

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This page was last updated on: 5/18/2026