31D2225558 CLIA NUMBER - WALGREENS #19523

Laboratory Demographics

  • CLIA Code: 31D2225558
  • Facility Name: WALGREENS #19523
  • Facility Address: 654 WESTWOOD AVENUE
    RIVER VALE, NJ
    ZIP 07675
  • Facility Phone: 201 664-6900
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHONG C. PAK
  • NPI Number: 1275058885
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2225558
LAB Type Pharmacy
Facility Name WALGREENS #19523
Street 654 WESTWOOD AVENUE
City RIVER VALE
State NJ
ZIP 07675
Phone 201 664-6900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/21/2025
Certificate Expiration Date 5/20/2027
Facility Type Pharmacy
Lab Director CHONG C. PAK

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