31D2036822 CLIA NUMBER - WALGREENS#12406

Laboratory Demographics

  • CLIA Code: 31D2036822
  • Facility Name: WALGREENS#12406
  • Facility Address: 9255 KENNEDY BLVD
    NORTH BERGEN, NJ
    ZIP 07047
  • Facility Phone: 201 854-6092
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JENNIFER G. LEE
  • NPI Number: 1265739049
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2036822
LAB Type Pharmacy
Facility Name WALGREENS#12406
Street 9255 KENNEDY BLVD
City NORTH BERGEN
State NJ
ZIP 07047
Phone 201 854-6092
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/4/2025
Certificate Expiration Date 8/3/2027
Facility Type Pharmacy
Lab Director JENNIFER G. LEE

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