31D2217804 CLIA NUMBER - WALGREENS #18253

Laboratory Demographics

CLIA Number: 31D2217804

Facility Name: WALGREENS #18253

Facility Address:
248 KEARNY AVENUE
KEARNY, NJ
ZIP 07032
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Facility Phone Number: 201 998-8787

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1285151951

Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

CLIA Record

Field Name	Field Value
CLIA Number	31D2217804
LAB Type	Pharmacy
Facility Name	WALGREENS #18253
Street	248 KEARNY AVENUE
City	KEARNY
State	NJ
ZIP	07032
Phone	201 998-8787
CertificateType	4
CertificateEffectiveDate	3/24/2023
CertificateExpirationDate	3/23/2025
FacilityType	Waiver

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