31D2279005 CLIA NUMBER - WALGREENS HEALTH SERVICES, LLC

Laboratory Demographics

  • CLIA Code: 31D2279005
  • Facility Name: WALGREENS HEALTH SERVICES, LLC
  • Facility Address: 600 NEWARK AVE SUITE 101
    ELIZABETH, NJ
    ZIP 07208
  • Facility Phone: 908 662-6482
  • Facility Type: Other - HEALTH CLINIC
  • Facility Type: Waiver
  • Lab Director: SASHIDARAN MOODLEY
  • NPI Number: 1326754169
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 31D2279005
LAB Type Other - HEALTH CLINIC
Facility Name WALGREENS HEALTH SERVICES, LLC
Street 600 NEWARK AVE SUITE 101
City ELIZABETH
State NJ
ZIP 07208
Phone 908 662-6482
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/28/2025
Certificate Expiration Date 3/27/2027
Facility Type Other - HEALTH CLINIC
Lab Director SASHIDARAN MOODLEY

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