31D2036817 CLIA NUMBER - WALGREENS#03292

Laboratory Demographics

  • CLIA Code: 31D2036817
  • Facility Name: WALGREENS#03292
  • Facility Address: 240 -250 CENTRAL AVENUE
    ORANGE, NJ
    ZIP 07050
  • Facility Phone: 973 674-0733
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DHRUVA SITWALA
  • NPI Number: 1891700886
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2036817
LAB Type Pharmacy
Facility Name WALGREENS#03292
Street 240 -250 CENTRAL AVENUE
City ORANGE
State NJ
ZIP 07050
Phone 973 674-0733
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/5/2025
Certificate Expiration Date 4/4/2027
Facility Type Pharmacy
Lab Director DHRUVA SITWALA

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