31D2287585 CLIA NUMBER - WALGREENS 19207

Laboratory Demographics

  • CLIA Code: 31D2287585
  • Facility Name: WALGREENS 19207
  • Facility Address: 1483 STATE ROUTE 23 - STE 12
    KINNELON, NJ
    ZIP 07405
  • Facility Phone: 973 838-4444
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MONICA LARGO
  • NPI Number: 1225553829
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2287585
LAB Type Pharmacy
Facility Name WALGREENS 19207
Street 1483 STATE ROUTE 23 - STE 12
City KINNELON
State NJ
ZIP 07405
Phone 973 838-4444
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/15/2025
Certificate Expiration Date 8/14/2027
Facility Type Pharmacy
Lab Director MONICA LARGO

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