31D2035872 CLIA NUMBER - WALGREENS #06162

Laboratory Demographics

  • CLIA Code: 31D2035872
  • Facility Name: WALGREENS #06162
  • Facility Address: 508 MARTIN LUTHER KING JR BLVD
    EAST ORANGE, NJ
    ZIP 07018
  • Facility Phone: 973 672-6317
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PRIYA A. PATEL
  • NPI Number: 1639184526
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2035872
LAB Type Pharmacy
Facility Name WALGREENS #06162
Street 508 MARTIN LUTHER KING JR BLVD
City EAST ORANGE
State NJ
ZIP 07018
Phone 973 672-6317
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/25/2025
Certificate Expiration Date 3/24/2027
Facility Type Pharmacy
Lab Director PRIYA A. PATEL

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