31D2036276 CLIA NUMBER - WALGREENS#02695

Laboratory Demographics

  • CLIA Code: 31D2036276
  • Facility Name: WALGREENS#02695
  • Facility Address: 1400 TEANECK ROAD
    TEANECK, NJ
    ZIP 07666
  • Facility Phone: 201 837-9790
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NEETHA D. PALATTY
  • NPI Number: 1801801899
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2036276
LAB Type Pharmacy
Facility Name WALGREENS#02695
Street 1400 TEANECK ROAD
City TEANECK
State NJ
ZIP 07666
Phone 201 837-9790
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/24/2025
Certificate Expiration Date 8/23/2027
Facility Type Pharmacy
Lab Director NEETHA D. PALATTY

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