31D2036816 CLIA NUMBER - WALGREENS#03379

Laboratory Demographics

  • CLIA Code: 31D2036816
  • Facility Name: WALGREENS#03379
  • Facility Address: 61 FERRY ST
    NEWARK, NJ
    ZIP 07105
  • Facility Phone: 973 465-0482
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: FRANCISCA GECHUKI
  • NPI Number: 1356356349
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2036816
LAB Type Pharmacy
Facility Name WALGREENS#03379
Street 61 FERRY ST
City NEWARK
State NJ
ZIP 07105
Phone 973 465-0482
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/29/2025
Certificate Expiration Date 3/28/2027
Facility Type Pharmacy
Lab Director FRANCISCA GECHUKI

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