31D2195958 CLIA NUMBER - WALGREENS#15594

Laboratory Demographics

  • CLIA Code: 31D2195958
  • Facility Name: WALGREENS#15594
  • Facility Address: 465 KEARNY AVE
    KEARNY, NJ
    ZIP 07032
  • Facility Phone: 201 428-2376
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MELISSA FLORENTINO
  • NPI Number: 1356710396
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2195958
LAB Type Pharmacy
Facility Name WALGREENS#15594
Street 465 KEARNY AVE
City KEARNY
State NJ
ZIP 07032
Phone 201 428-2376
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/14/2024
Certificate Expiration Date 10/13/2026
Facility Type Pharmacy
Lab Director MELISSA FLORENTINO

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This page was last updated on: 3/20/2025