31D2287356 CLIA NUMBER - WALGREENS 19467

Laboratory Demographics

  • CLIA Code: 31D2287356
  • Facility Name: WALGREENS 19467
  • Facility Address: 1460 STATE ROUTE 23
    WAYNE, NJ
    ZIP 07470
  • Facility Phone: (973) 633-1057
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RADHA AJVALIA
  • NPI Number: 1336664077
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2287356
LAB Type Pharmacy
Facility Name WALGREENS 19467
Street 1460 STATE ROUTE 23
City WAYNE
State NJ
ZIP 07470
Phone 9736331057
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/14/2025
Certificate Expiration Date 8/13/2027
Facility Type Pharmacy
Lab Director RADHA AJVALIA

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This page was last updated on: 5/18/2026