31D2036818 CLIA NUMBER - WALGREENS#05343

Laboratory Demographics

  • CLIA Code: 31D2036818
  • Facility Name: WALGREENS#05343
  • Facility Address: 6012 KENNEDY BLVD W
    WEST NEW YORK, NJ
    ZIP 07093
  • Facility Phone: 201 869-9004
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MARIA LAURA SALKIND
  • NPI Number: 1154336147
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2036818
LAB Type Pharmacy
Facility Name WALGREENS#05343
Street 6012 KENNEDY BLVD W
City WEST NEW YORK
State NJ
ZIP 07093
Phone 201 869-9004
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/28/2025
Certificate Expiration Date 7/27/2027
Facility Type Pharmacy
Lab Director MARIA LAURA SALKIND

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