31D2052693 CLIA NUMBER - WALGREENS#13083

Laboratory Demographics

  • CLIA Code: 31D2052693
  • Facility Name: WALGREENS#13083
  • Facility Address: 447 BELMONT AVE
    HALEDON, NJ
    ZIP 07508
  • Facility Phone: 469 705-8184
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JAMES F. WARD
  • NPI Number: 1225553019
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2052693
LAB Type Pharmacy
Facility Name WALGREENS#13083
Street 447 BELMONT AVE
City HALEDON
State NJ
ZIP 07508
Phone 469 705-8184
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/18/2024
Certificate Expiration Date 9/17/2026
Facility Type Pharmacy
Lab Director JAMES F. WARD

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