31D2036533 CLIA NUMBER - WALGREENS#4092

Laboratory Demographics

  • CLIA Code: 31D2036533
  • Facility Name: WALGREENS#4092
  • Facility Address: 593 MARKET ST
    ELMWOOD PARK, NJ
    ZIP 07407
  • Facility Phone: 201 797-5839
  • Facility Type: Other - COVID 19 TEST SITE
  • Facility Type: Waiver
  • Lab Director: RAYMOND PAK
  • NPI Number: 1063429975
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2036533
LAB Type Other - COVID 19 TEST SITE
Facility Name WALGREENS#4092
Street 593 MARKET ST
City ELMWOOD PARK
State NJ
ZIP 07407
Phone 201 797-5839
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/14/2024
Certificate Expiration Date 12/13/2026
Facility Type Other - COVID 19 TEST SITE
Lab Director RAYMOND PAK

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