31D2290828 CLIA NUMBER - WALGREENS 19054

Laboratory Demographics

  • CLIA Code: 31D2290828
  • Facility Name: WALGREENS 19054
  • Facility Address: 132 MAIN STREET
    BLOOMINGDALE, NJ
    ZIP 07403
  • Facility Phone: 973 838-0003
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RODORA GUEYE
  • NPI Number: 1245755842
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2290828
LAB Type Pharmacy
Facility Name WALGREENS 19054
Street 132 MAIN STREET
City BLOOMINGDALE
State NJ
ZIP 07403
Phone 973 838-0003
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/2/2023
Certificate Expiration Date 10/1/2025
Facility Type Pharmacy
Lab Director RODORA GUEYE

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