31D2035886 CLIA NUMBER - WALGREENS#07969

Laboratory Demographics

  • CLIA Code: 31D2035886
  • Facility Name: WALGREENS#07969
  • Facility Address: 343 SPRINGFIELD AVE
    BERKELEY HEIGHTS, NJ
    ZIP 07922
  • Facility Phone: 908 464-2095
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MAUREEN F. FERNANDEZ
  • NPI Number: 1790790681
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2035886
LAB Type Pharmacy
Facility Name WALGREENS#07969
Street 343 SPRINGFIELD AVE
City BERKELEY HEIGHTS
State NJ
ZIP 07922
Phone 908 464-2095
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 MAUREEN F. FERNANDEZ

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