31D2036281 CLIA NUMBER - WALGREENS#05332

Laboratory Demographics

  • CLIA Code: 31D2036281
  • Facility Name: WALGREENS#05332
  • Facility Address: 101 PRESIDENT ST
    PASSAIC, NJ
    ZIP 07055
  • Facility Phone: 973 471-2657
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KAREN T. MIJAL-LOTZ
  • NPI Number: 1427063411
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2036281
LAB Type Pharmacy
Facility Name WALGREENS#05332
Street 101 PRESIDENT ST
City PASSAIC
State NJ
ZIP 07055
Phone 973 471-2657
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/4/2025
Certificate Expiration Date 8/3/2027
Facility Type Pharmacy
Lab Director KAREN T. MIJAL-LOTZ

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