31D2036280 CLIA NUMBER - WALGREENS#04361

Laboratory Demographics

  • CLIA Code: 31D2036280
  • Facility Name: WALGREENS#04361
  • Facility Address: 17-77 RIVER ROAD
    FAIR LAWN, NJ
    ZIP 07410
  • Facility Phone: 201 796-1142
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: THU M. TRAN
  • NPI Number: 1447265426
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2036280
LAB Type Pharmacy
Facility Name WALGREENS#04361
Street 17-77 RIVER ROAD
City FAIR LAWN
State NJ
ZIP 07410
Phone 201 796-1142
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/28/2025
Certificate Expiration Date 7/27/2027
Facility Type Pharmacy
Lab Director THU M. TRAN

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