31D2294839 CLIA NUMBER - WALGREENS 19931

Laboratory Demographics

  • CLIA Code: 31D2294839
  • Facility Name: WALGREENS 19931
  • Facility Address: 208 PARK AVE
    RUTHERFORD, NJ
    ZIP 07070
  • Facility Phone: 201 896-9251
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOANN TARAKJIAN
  • NPI Number: 1952826638
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2294839
LAB Type Pharmacy
Facility Name WALGREENS 19931
Street 208 PARK AVE
City RUTHERFORD
State NJ
ZIP 07070
Phone 201 896-9251
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/30/2023
Certificate Expiration Date 11/29/2025
Facility Type Pharmacy
Lab Director JOANN TARAKJIAN

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This page was last updated on: 6/4/2025