31D2036278 CLIA NUMBER - WALGREENS #02883

Laboratory Demographics

  • CLIA Code: 31D2036278
  • Facility Name: WALGREENS #02883
  • Facility Address: 72 CRESCENT AVENUE
    WALDWICK, NJ
    ZIP 07463
  • Facility Phone: 201 444-1689
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MINDY DOONG
  • NPI Number: 1538174529
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2036278
LAB Type Pharmacy
Facility Name WALGREENS #02883
Street 72 CRESCENT AVENUE
City WALDWICK
State NJ
ZIP 07463
Phone 201 444-1689
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/2/2025
Certificate Expiration Date 10/1/2027
Facility Type Pharmacy
Lab Director MINDY DOONG

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