31D2036279 CLIA NUMBER - WALGREENS#02968

Laboratory Demographics

  • CLIA Code: 31D2036279
  • Facility Name: WALGREENS#02968
  • Facility Address: 20 ARNOT ST
    LODI, NJ
    ZIP 07644
  • Facility Phone: 973 470-9494
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SALOOMEH NOOCHIRWANI TEHRAN
  • NPI Number: 1447265434
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2036279
LAB Type Pharmacy
Facility Name WALGREENS#02968
Street 20 ARNOT ST
City LODI
State NJ
ZIP 07644
Phone 973 470-9494
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/24/2025
Certificate Expiration Date 3/23/2027
Facility Type Pharmacy
Lab Director SALOOMEH NOOCHIRWANI TEHRAN

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