31D2201482 CLIA NUMBER - SUPER HEALTH PHARMACY NJ LLC

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Laboratory Demographics

CLIA Number: 31D2201482

Facility Name: SUPER HEALTH PHARMACY NJ LLC

Facility Address:
651 NORTH STILES STREET
LINDEN, NJ
ZIP 07036
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Facility Phone Number: 908 718-5459

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1467016006

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	31D2201482
LAB Type	Pharmacy
Facility Name	SUPER HEALTH PHARMACY NJ LLC
Street	651 NORTH STILES STREET
City	LINDEN
State	NJ
ZIP	07036
Phone	908 718-5459
CertificateType	4
CertificateEffectiveDate	11/20/2022
CertificateExpirationDate	11/19/2024
FacilityType	Waiver

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