31D2198549 CLIA NUMBER - HACKENSACK MERIDIAN VILLAGE PHARMACY

Laboratory Demographics

  • CLIA Code: 31D2198549
  • Facility Name: HACKENSACK MERIDIAN VILLAGE PHARMACY
  • Facility Address: 27 SOUTH COOK BRIDGE ROAD, SUITE M-1
    JACKSON, NJ
    ZIP 08527
  • Facility Phone: (732) 994-7387
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: GABRIEL M. OUELLETTE

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CLIA Record

Field Name Field Value
CLIA Number 31D2198549
LAB Type Mobile Laboratory
Facility Name HACKENSACK MERIDIAN VILLAGE PHARMACY
Street 27 SOUTH COOK BRIDGE ROAD, SUITE M-1
City JACKSON
State NJ
ZIP 08527
Phone 7329947387
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/3/2024
Certificate Expiration Date 11/2/2026
Facility Type Mobile Laboratory
Lab Director GABRIEL M. OUELLETTE

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This page was last updated on: 5/18/2026