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31D2017143 CLIA NUMBER - JOHN THEURER CANCER CENTER AT HACKENSACK UNIVERSITY MEDICAL CENTER

Laboratory Demographics

CLIA Number: 31D2017143

Facility Name: JOHN THEURER CANCER CENTER AT HACKENSACK UNIVERSITY MEDICAL CENTER

Facility Address:
92 SECOND STREET
HACKENSACK, NJ
ZIP 07601
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Facility Phone Number: 201 996-4880

Facility Type: Ancillary Testing Site in Health Care Center

Certificate Type: Waiver
NPI Number: 1992096374

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name Field Value
CLIA Number 31D2017143
LAB Type Ancillary Testing Site in Health Care Center
Facility Name JOHN THEURER CANCER CENTER AT HACKENSACK UNIVERSITY MEDICAL CENTER
Street 92 SECOND STREET
City HACKENSACK
State NJ
ZIP 07601
Phone 201 996-4880
CertificateType 4
CertificateEffectiveDate 12/6/2022
CertificateExpirationDate 12/5/2024
FacilityType Waiver

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