31D2036246 CLIA NUMBER - WALGREENS#06161

Laboratory Demographics

CLIA Number: 31D2036246

Facility Name: WALGREENS#06161

Facility Address:
100 BROADWAY
ELMWOOD PARK, NJ
ZIP 07407
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Facility Phone Number: 201 796-0204

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1710992797

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 31D2036246
LAB Type Pharmacy
Facility Name WALGREENS#06161
Street 100 BROADWAY
City ELMWOOD PARK
State NJ
ZIP 07407
Phone 201 796-0204
CertificateType 4
CertificateEffectiveDate 3/25/2023
CertificateExpirationDate 3/24/2025
FacilityType Waiver

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