31D2034978 CLIA NUMBER - WALGREENS#09626

Laboratory Demographics

  • CLIA Code: 31D2034978
  • Facility Name: WALGREENS#09626
  • Facility Address: 400 ATLANTIC CITY BLVD
    BAYVILLE, NJ
    ZIP 08721
  • Facility Phone: 732 237-7142
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DANIELLE N. SCEVOLA
  • NPI Number: 1700055670
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2034978
LAB Type Pharmacy
Facility Name WALGREENS#09626
Street 400 ATLANTIC CITY BLVD
City BAYVILLE
State NJ
ZIP 08721
Phone 732 237-7142
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/18/2025
Certificate Expiration Date 10/17/2027
Facility Type Pharmacy
Lab Director DANIELLE N. SCEVOLA

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