31D2218186 CLIA NUMBER - WALGREENS #19184

Laboratory Demographics

  • CLIA Code: 31D2218186
  • Facility Name: WALGREENS #19184
  • Facility Address: 116-130 BROADWAY
    PASSAIC, NJ
    ZIP 07055
  • Facility Phone: 973 779-2865
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANNA DO
  • NPI Number: 1972027670
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2218186
LAB Type Pharmacy
Facility Name WALGREENS #19184
Street 116-130 BROADWAY
City PASSAIC
State NJ
ZIP 07055
Phone 973 779-2865
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/26/2025
Certificate Expiration Date 3/25/2027
Facility Type Pharmacy
Lab Director ANNA DO

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