31D2205308 CLIA NUMBER - WALGREENS #15368

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Laboratory Demographics

CLIA Number: 31D2205308

Facility Name: WALGREENS #15368

Facility Address:
1080 BROADWAY
BAYONNE, NJ
ZIP 07002
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Facility Phone Number: 551 226-2163

Facility Type: Other - COVID 19 TEST SITE

Certificate Type: Waiver

NPI Number: 1376828962

Taxonomy: 183700000X - Pharmacy Technician
A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist.

CLIA Record

Field Name	Field Value
CLIA Number	31D2205308
LAB Type	Other - COVID 19 TEST SITE
Facility Name	WALGREENS #15368
Street	1080 BROADWAY
City	BAYONNE
State	NJ
ZIP	07002
Phone	551 226-2163
CertificateType	4
CertificateEffectiveDate	12/14/2022
CertificateExpirationDate	12/13/2024
FacilityType	Waiver

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