31D2296644 CLIA NUMBER - WALGREENS 18252

Laboratory Demographics

  • CLIA Code: 31D2296644
  • Facility Name: WALGREENS 18252
  • Facility Address: 140 FERRY ST
    NEWARK, NJ
    ZIP 07105
  • Facility Phone: 973 344-2982
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RAMI BADER
  • NPI Number: 1023532710
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2296644
LAB Type Pharmacy
Facility Name WALGREENS 18252
Street 140 FERRY ST
City NEWARK
State NJ
ZIP 07105
Phone 973 344-2982
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/3/2024
Certificate Expiration Date 1/2/2026
Facility Type Pharmacy
Lab Director RAMI BADER

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