31D2132655 CLIA NUMBER - NEW JERSEY PAIN MANAGEMENT, PA A MEMBER OF CONSENSUS HEALTH

Laboratory Demographics

CLIA Number: 31D2132655

Facility Name: NEW JERSEY PAIN MANAGEMENT, PA A MEMBER OF CONSENSUS HEALTH

Facility Address:
540 LAFAYETTE RD
SPARTA, NJ
ZIP 07871
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Facility Phone Number: 973 936-1120

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1477645075

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	31D2132655
LAB Type	Physician Office
Facility Name	NEW JERSEY PAIN MANAGEMENT, PA A MEMBER OF CONSENSUS HEALTH
Street	540 LAFAYETTE RD
City	SPARTA
State	NJ
ZIP	07871
Phone	973 936-1120
CertificateType	4
CertificateEffectiveDate	6/26/2023
CertificateExpirationDate	6/25/2025
FacilityType	Waiver

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