31D2035913 CLIA NUMBER - WALGREENS#13700

Laboratory Demographics

  • CLIA Code: 31D2035913
  • Facility Name: WALGREENS#13700
  • Facility Address: 260 NORTH AVE
    WESTFIELD, NJ
    ZIP 07090
  • Facility Phone: 908 379-2496
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JESSICA MALLO
  • NPI Number: 1417199464
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2035913
LAB Type Pharmacy
Facility Name WALGREENS#13700
Street 260 NORTH AVE
City WESTFIELD
State NJ
ZIP 07090
Phone 908 379-2496
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/10/2025
Certificate Expiration Date 8/9/2027
Facility Type Pharmacy
Lab Director JESSICA MALLO

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