31D2202522 CLIA NUMBER - PHARMACY EXPRESS

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Laboratory Demographics

CLIA Number: 31D2202522

Facility Name: PHARMACY EXPRESS

Facility Address:
991 MAIN STREET, SUITE 1B
PATERSON, NJ
ZIP 07503
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Facility Phone Number: 973 754-1000

Facility Type: Mobile Laboratory

Certificate Type: Waiver

NPI Number: 1114422102

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	31D2202522
LAB Type	Mobile Laboratory
Facility Name	PHARMACY EXPRESS
Street	991 MAIN STREET, SUITE 1B
City	PATERSON
State	NJ
ZIP	07503
Phone	973 754-1000
CertificateType	4
CertificateEffectiveDate	11/30/2022
CertificateExpirationDate	11/29/2024
FacilityType	Waiver

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