31D2035778 CLIA NUMBER - WALGREENS#09335

Laboratory Demographics

  • CLIA Code: 31D2035778
  • Facility Name: WALGREENS#09335
  • Facility Address: 260 US HWY 46
    ROCKAWAY, NJ
    ZIP 07866
  • Facility Phone: 973 664-9412
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOSETTE C. BAROUDI
  • NPI Number: 1417163783
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2035778
LAB Type Pharmacy
Facility Name WALGREENS#09335
Street 260 US HWY 46
City ROCKAWAY
State NJ
ZIP 07866
Phone 973 664-9412
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/5/2025
Certificate Expiration Date 4/4/2027
Facility Type Pharmacy
Lab Director JOSETTE C. BAROUDI

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