31D2205340 CLIA NUMBER - CITY PHARMACY OF NUTLEY

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Laboratory Demographics

CLIA Number: 31D2205340

Facility Name: CITY PHARMACY OF NUTLEY

Facility Address:
215 FRANKLIN AVE
NUTLEY, NJ
ZIP 07110
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Facility Phone Number: 973 667-6677

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1912565169

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	31D2205340
LAB Type	Pharmacy
Facility Name	CITY PHARMACY OF NUTLEY
Street	215 FRANKLIN AVE
City	NUTLEY
State	NJ
ZIP	07110
Phone	973 667-6677
CertificateType	4
CertificateEffectiveDate	12/14/2022
CertificateExpirationDate	12/13/2024
FacilityType	Waiver

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