31D2036531 CLIA NUMBER - WALGREENS#02141

Laboratory Demographics

  • CLIA Code: 31D2036531
  • Facility Name: WALGREENS#02141
  • Facility Address: 655 WYCKOFF AVE
    WYCKOFF, NJ
    ZIP 07481
  • Facility Phone: 201 891-5373
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NERY R. LUCERO
  • NPI Number: 1528073509
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2036531
LAB Type Pharmacy
Facility Name WALGREENS#02141
Street 655 WYCKOFF AVE
City WYCKOFF
State NJ
ZIP 07481
Phone 201 891-5373
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/10/2025
Certificate Expiration Date 8/9/2027
Facility Type Pharmacy
Lab Director NERY R. LUCERO

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