31D2220992 CLIA NUMBER - WALGREENS#16402

Laboratory Demographics

  • CLIA Code: 31D2220992
  • Facility Name: WALGREENS#16402
  • Facility Address: 175 WASHINGTON AVE
    BELLEVILLE, NJ
    ZIP 07109
  • Facility Phone: 973 759-4877
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PAYAL PATEL
  • NPI Number: 1437164415
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2220992
LAB Type Pharmacy
Facility Name WALGREENS#16402
Street 175 WASHINGTON AVE
City BELLEVILLE
State NJ
ZIP 07109
Phone 973 759-4877
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/16/2025
Certificate Expiration Date 4/15/2027
Facility Type Pharmacy
Lab Director PAYAL PATEL

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