31D2036821 CLIA NUMBER - WALGREENS#02884

Laboratory Demographics

  • CLIA Code: 31D2036821
  • Facility Name: WALGREENS#02884
  • Facility Address: 600 NEWARK AVE
    ELIZABETH, NJ
    ZIP 07208
  • Facility Phone: (908) 353-7443
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BEATRICE RIVERA
  • NPI Number: 1326754169
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 31D2036821
LAB Type Pharmacy
Facility Name WALGREENS#02884
Street 600 NEWARK AVE
City ELIZABETH
State NJ
ZIP 07208
Phone 9083537443
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/10/2025
Certificate Expiration Date 8/9/2027
Facility Type Pharmacy
Lab Director BEATRICE RIVERA

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This page was last updated on: 5/18/2026