31D2092370 CLIA NUMBER - PHARMACY PLUS

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Laboratory Demographics

CLIA Number: 31D2092370

Facility Name: PHARMACY PLUS

Facility Address:
625 MAIN AVENUE
PASSAIC, NJ
ZIP 07055
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Facility Phone Number: 973 471-9100

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1487060109

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	31D2092370
LAB Type	Pharmacy
Facility Name	PHARMACY PLUS
Street	625 MAIN AVENUE
City	PASSAIC
State	NJ
ZIP	07055
Phone	973 471-9100
CertificateType	4
CertificateEffectiveDate	3/4/2023
CertificateExpirationDate	3/3/2025
FacilityType	Waiver

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