31D2035132 CLIA NUMBER - WALGREENS#05463

Laboratory Demographics

  • CLIA Code: 31D2035132
  • Facility Name: WALGREENS#05463
  • Facility Address: 699 BROADWAY
    BAYONNE, NJ
    ZIP 07002
  • Facility Phone: 201 243-1804
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RACHEL ANNE SANTIAGO
  • NPI Number: 1811902703
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2035132
LAB Type Pharmacy
Facility Name WALGREENS#05463
Street 699 BROADWAY
City BAYONNE
State NJ
ZIP 07002
Phone 201 243-1804
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2025
Certificate Expiration Date 8/31/2027
Facility Type Pharmacy
Lab Director RACHEL ANNE SANTIAGO

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