31D2035878 CLIA NUMBER - WALGREENS#06957

Laboratory Demographics

  • CLIA Code: 31D2035878
  • Facility Name: WALGREENS#06957
  • Facility Address: 476 W UNION AVENUE
    BOUND BROOK, NJ
    ZIP 08805
  • Facility Phone: 732 805-4014
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: XIAONA SUN
  • NPI Number: 1710992607
  • Taxonomy: 333600000X - Pharmacy

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/6/2025
Certificate Expiration Date 9/5/2027
Facility Type Pharmacy
Lab Director XIAONA SUN

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