31D2219539 CLIA NUMBER - WALGREENS #15593

Laboratory Demographics

  • CLIA Code: 31D2219539
  • Facility Name: WALGREENS #15593
  • Facility Address: 750 MAIN STREET
    PATERSON, NJ
    ZIP 07503
  • Facility Phone: 973 321-2770
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOELLE JO
  • NPI Number: 1598158511
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2219539
LAB Type Pharmacy
Facility Name WALGREENS #15593
Street 750 MAIN STREET
City PATERSON
State NJ
ZIP 07503
Phone 973 321-2770
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/6/2025
Certificate Expiration Date 4/5/2027
Facility Type Pharmacy
Lab Director JOELLE JO

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