31D2035878 CLIA NUMBER - WALGREENS#06957

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Laboratory Demographics

CLIA Number: 31D2035878

Facility Name: WALGREENS#06957

Facility Address:
476 W UNION AVENUE
BOUND BROOK, NJ
ZIP 08805
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Facility Phone Number: 732 805-4014

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1710992607

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	31D2035878
LAB Type	Pharmacy
Facility Name	WALGREENS#06957
Street	476 W UNION AVENUE
City	BOUND BROOK
State	NJ
ZIP	08805
Phone	732 805-4014
CertificateType	4
CertificateEffectiveDate	9/6/2023
CertificateExpirationDate	9/5/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024