31D2185183 CLIA NUMBER - ROCK RIDGE PHARMACY

Laboratory Demographics

  • CLIA Code: 31D2185183
  • Facility Name: ROCK RIDGE PHARMACY
  • Facility Address: 191 ROCK ROAD
    GLEN ROCK, NJ
    ZIP 07452
  • Facility Phone: 201 444-4190
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KHUSHBOO SHAH
  • NPI Number: 1144430513
  • Taxonomy: 3336C0004X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2185183
LAB Type Pharmacy
Facility Name ROCK RIDGE PHARMACY
Street 191 ROCK ROAD
City GLEN ROCK
State NJ
ZIP 07452
Phone 201 444-4190
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/1/2024
Certificate Expiration Date 5/31/2026
Facility Type Pharmacy
Lab Director KHUSHBOO SHAH

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