31D2287589 CLIA NUMBER - WALGREENS 19963

Laboratory Demographics

  • CLIA Code: 31D2287589
  • Facility Name: WALGREENS 19963
  • Facility Address: 1300 WILLOW AVENUE
    HOBOKEN, NJ
    ZIP 07030
  • Facility Phone: 201 798-0558
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: OSMAN NOHA
  • NPI Number: 1659897254
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2287589
LAB Type Pharmacy
Facility Name WALGREENS 19963
Street 1300 WILLOW AVENUE
City HOBOKEN
State NJ
ZIP 07030
Phone 201 798-0558
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 OSMAN NOHA

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