31D2035782 CLIA NUMBER - WALGREENS#01881

Laboratory Demographics

  • CLIA Code: 31D2035782
  • Facility Name: WALGREENS#01881
  • Facility Address: 17 BELLEVILLE AVE
    BLOOMFIELD, NJ
    ZIP 07003
  • Facility Phone: 973 429-7407
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: EMMANUELA AUDIGE
  • NPI Number: 1629083605
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2035782
LAB Type Pharmacy
Facility Name WALGREENS#01881
Street 17 BELLEVILLE AVE
City BLOOMFIELD
State NJ
ZIP 07003
Phone 973 429-7407
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/14/2025
Certificate Expiration Date 8/13/2027
Facility Type Pharmacy
Lab Director EMMANUELA AUDIGE

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