31D2036274 CLIA NUMBER - WALGREENS #01875

Laboratory Demographics

  • CLIA Code: 31D2036274
  • Facility Name: WALGREENS #01875
  • Facility Address: 383 WASHINGTON AVE
    HILLSDALE, NJ
    ZIP 07642
  • Facility Phone: 201 664-4250
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SALIENA THOMAS
  • NPI Number: 1174538151
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2036274
LAB Type Pharmacy
Facility Name WALGREENS #01875
Street 383 WASHINGTON AVE
City HILLSDALE
State NJ
ZIP 07642
Phone 201 664-4250
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 SALIENA THOMAS

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