31D2211941 CLIA NUMBER - WALGREENS#11774

Laboratory Demographics

  • CLIA Code: 31D2211941
  • Facility Name: WALGREENS#11774
  • Facility Address: 7401 RIVER ROAD
    NORTH BERGEN, NJ
    ZIP 07047
  • Facility Phone: 201 662-6280
  • Facility Type: Other - COVID TESTING
  • Facility Type: Waiver
  • Lab Director: CHETAN PATEL
  • NPI Number: 1740532316
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2211941
LAB Type Other - COVID TESTING
Facility Name WALGREENS#11774
Street 7401 RIVER ROAD
City NORTH BERGEN
State NJ
ZIP 07047
Phone 201 662-6280
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/2/2025
Certificate Expiration Date 2/1/2027
Facility Type Other - COVID TESTING
Lab Director CHETAN PATEL

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