31D2199078 CLIA NUMBER - WALGREENS # 17797

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CLIA Record

Field Name Field Value
CLIA Number 31D2199078
LAB Type Pharmacy
Facility Name WALGREENS # 17797
Street 432 BERGEN ST
City HARRISON
State NJ
ZIP 07029
Phone 973 483-5336
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/5/2024
Certificate Expiration Date 11/4/2026
Facility Type Pharmacy
Lab Director PETER SOUS

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