31D2205655 CLIA NUMBER - WALGREENS#03146

Laboratory Demographics

  • CLIA Code: 31D2205655
  • Facility Name: WALGREENS#03146
  • Facility Address: 561-579 IRVINGTON AVE
    NEWARK, NJ
    ZIP 07106
  • Facility Phone: 908 337-8037
  • Facility Type: Other - COVID 19 TEST SITE
  • Facility Type: Waiver
  • Lab Director: GRACE LIU
  • NPI Number: 1922375781
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2205655
LAB Type Other - COVID 19 TEST SITE
Facility Name WALGREENS#03146
Street 561-579 IRVINGTON AVE
City NEWARK
State NJ
ZIP 07106
Phone 908 337-8037
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/15/2024
Certificate Expiration Date 12/14/2026
Facility Type Other - COVID 19 TEST SITE
Lab Director GRACE LIU

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