31D2036843 CLIA NUMBER - WALGREENS#03197

Laboratory Demographics

  • CLIA Code: 31D2036843
  • Facility Name: WALGREENS#03197
  • Facility Address: 2395 KENNEDY BLVD
    JERSEY CITY, NJ
    ZIP 07304
  • Facility Phone: 201 333-4092
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KIM HERRING
  • NPI Number: 1700891793
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2036843
LAB Type Pharmacy
Facility Name WALGREENS#03197
Street 2395 KENNEDY BLVD
City JERSEY CITY
State NJ
ZIP 07304
Phone 201 333-4092
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/1/2025
Certificate Expiration Date 1/31/2027
Facility Type Pharmacy
Lab Director KIM HERRING

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