31D2205308 CLIA NUMBER - WALGREENS #15368

Laboratory Demographics

  • CLIA Code: 31D2205308
  • Facility Name: WALGREENS #15368
  • Facility Address: 1080 BROADWAY
    BAYONNE, NJ
    ZIP 07002
  • Facility Phone: 551 226-2163
  • Facility Type: Other - COVID 19 TEST SITE
  • Facility Type: Waiver
  • Lab Director: ABUZAR CHAUDHRY
  • NPI Number: 1376828962
  • Taxonomy: 183700000X - Pharmacy Technician

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/14/2024
Certificate Expiration Date 12/13/2026
Facility Type Other - COVID 19 TEST SITE
Lab Director ABUZAR CHAUDHRY

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