31D2036275 CLIA NUMBER - WALGREENS#02682

Laboratory Demographics

  • CLIA Code: 31D2036275
  • Facility Name: WALGREENS#02682
  • Facility Address: 406 E MADISON AVE
    DUMONT, NJ
    ZIP 07628
  • Facility Phone: 201 384-8942
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TONY YOUNG
  • NPI Number: 1275548265
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2036275
LAB Type Pharmacy
Facility Name WALGREENS#02682
Street 406 E MADISON AVE
City DUMONT
State NJ
ZIP 07628
Phone 201 384-8942
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/19/2023
Certificate Expiration Date 12/18/2025
Facility Type Pharmacy
Lab Director TONY YOUNG

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