31D2036041 CLIA NUMBER - AMERICAN RED CROSS BLOOD CTR NORTHERN NEW JERSEY

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Laboratory Demographics

CLIA Number: 31D2036041

Facility Name: AMERICAN RED CROSS BLOOD CTR NORTHERN NEW JERSEY

Facility Address:
209 FAIRFIELD AVENUE, 3RD FLOOR
FAIRFIELD, NJ
ZIP 07004
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Facility Phone Number: 215 451-4976

Facility Type: Blood Bank

Certificate Type: Waiver

NPI Number: 1295703403

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	31D2036041
LAB Type	Blood Bank
Facility Name	AMERICAN RED CROSS BLOOD CTR NORTHERN NEW JERSEY
Street	209 FAIRFIELD AVENUE, 3RD FLOOR
City	FAIRFIELD
State	NJ
ZIP	07004
Phone	215 451-4976
CertificateType	4
CertificateEffectiveDate	10/3/2023
CertificateExpirationDate	10/2/2025
FacilityType	Waiver

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