31D2212568 CLIA NUMBER - WALGREENS#07794

Laboratory Demographics

  • CLIA Code: 31D2212568
  • Facility Name: WALGREENS#07794
  • Facility Address: 601 PASSAIC AVE
    CALDWELL, NJ
    ZIP 07006
  • Facility Phone: 973 575-1299
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SADDAM ELOMARI
  • NPI Number: 1891700878
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2212568
LAB Type Pharmacy
Facility Name WALGREENS#07794
Street 601 PASSAIC AVE
City CALDWELL
State NJ
ZIP 07006
Phone 973 575-1299
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/4/2025
Certificate Expiration Date 2/3/2027
Facility Type Pharmacy
Lab Director SADDAM ELOMARI

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