31D2287211 CLIA NUMBER - WALGREENS 19822

Laboratory Demographics

  • CLIA Code: 31D2287211
  • Facility Name: WALGREENS 19822
  • Facility Address: 1320 VSHIPYARD LN STE 3
    HOBOKEN, NJ
    ZIP 07030
  • Facility Phone: 201 876-0040
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LAVINIKA ROMANOVIC
  • NPI Number: 1184149833
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2287211
LAB Type Pharmacy
Facility Name WALGREENS 19822
Street 1320 VSHIPYARD LN STE 3
City HOBOKEN
State NJ
ZIP 07030
Phone 201 876-0040
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/10/2023
Certificate Expiration Date 8/9/2025
Facility Type Pharmacy
Lab Director LAVINIKA ROMANOVIC

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This page was last updated on: 3/20/2025