31D2196430 CLIA NUMBER - WALGREENS #19517

Laboratory Demographics

  • CLIA Code: 31D2196430
  • Facility Name: WALGREENS #19517
  • Facility Address: 337 CENTRAL AVE
    JERSEY CITY, NJ
    ZIP 07307
  • Facility Phone: 201 653-0357
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AMIRA ROXAS
  • NPI Number: 1245755982
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2196430
LAB Type Pharmacy
Facility Name WALGREENS #19517
Street 337 CENTRAL AVE
City JERSEY CITY
State NJ
ZIP 07307
Phone 201 653-0357
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/16/2024
Certificate Expiration Date 10/15/2026
Facility Type Pharmacy
Lab Director AMIRA ROXAS

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