31D2176402 CLIA NUMBER - WALGREENS#15029

Laboratory Demographics

  • CLIA Code: 31D2176402
  • Facility Name: WALGREENS#15029
  • Facility Address: 55 CORPORATE DR
    BRIDGEWATER, NJ
    ZIP 08807
  • Facility Phone: 908 306-8904
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: VERONICA MIZERAK
  • NPI Number: 1114211695
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2176402
LAB Type Pharmacy
Facility Name WALGREENS#15029
Street 55 CORPORATE DR
City BRIDGEWATER
State NJ
ZIP 08807
Phone 908 306-8904
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/16/2023
Certificate Expiration Date 12/15/2025
Facility Type Pharmacy
Lab Director VERONICA MIZERAK

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