31D2035871 CLIA NUMBER - WALGREENS#06253

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Laboratory Demographics

CLIA Number: 31D2035871

Facility Name: WALGREENS#06253

Facility Address:
1561 JOHN F KENNEDY BLVD
JERSEY CITY, NJ
ZIP 07305
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Facility Phone Number: 201 332-4668

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1457366346

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	31D2035871
LAB Type	Pharmacy
Facility Name	WALGREENS#06253
Street	1561 JOHN F KENNEDY BLVD
City	JERSEY CITY
State	NJ
ZIP	07305
Phone	201 332-4668
CertificateType	4
CertificateEffectiveDate	6/7/2022
CertificateExpirationDate	6/6/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024