31D2198179 CLIA NUMBER - CEDENOS PHARMACY

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Laboratory Demographics

CLIA Number: 31D2198179

Facility Name: CEDENOS PHARMACY

Facility Address:
400 STATE ST
PERTH AMBOY, NJ
ZIP 08861
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Facility Phone Number: 732 442-4478

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1497760003

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	31D2198179
LAB Type	Pharmacy
Facility Name	CEDENOS PHARMACY
Street	400 STATE ST
City	PERTH AMBOY
State	NJ
ZIP	08861
Phone	732 442-4478
CertificateType	4
CertificateEffectiveDate	10/30/2022
CertificateExpirationDate	10/29/2024
FacilityType	Waiver

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