31D2196430 CLIA NUMBER - WALGREENS #19517

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Laboratory Demographics

CLIA Number: 31D2196430

Facility Name: WALGREENS #19517

Facility Address:
337 CENTRAL AVE
JERSEY CITY, NJ
ZIP 07307
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Facility Phone Number: 201 653-0357

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1245755982

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

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
CertificateType	4
CertificateEffectiveDate	10/16/2022
CertificateExpirationDate	10/15/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024