31D2036529 CLIA NUMBER - WALGREENS#01879

Laboratory Demographics

  • CLIA Code: 31D2036529
  • Facility Name: WALGREENS#01879
  • Facility Address: 2151 LEMOINE AVE
    FORT LEE, NJ
    ZIP 07024
  • Facility Phone: 201 947-6772
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RICHARD KIM
  • NPI Number: 1356356331
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2036529
LAB Type Pharmacy
Facility Name WALGREENS#01879
Street 2151 LEMOINE AVE
City FORT LEE
State NJ
ZIP 07024
Phone 201 947-6772
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 RICHARD KIM

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