31D2205342 CLIA NUMBER - CLINTON PHARMACY AND HEALTHCARE CENTER

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Laboratory Demographics

CLIA Number: 31D2205342

Facility Name: CLINTON PHARMACY AND HEALTHCARE CENTER

Facility Address:
784 CLINTON AVE
NEWARK, NJ
ZIP 07108
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Facility Phone Number: (973) 375-6003

Facility Type: PHARMACY

Certificate Type: Waiver

NPI Number: 1629116033

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	31D2205342
LAB Type	PHARMACY
Facility Name	CLINTON PHARMACY AND HEALTHCARE CENTER
Street	784 CLINTON AVE
City	NEWARK
State	NJ
ZIP	07108
Phone	(973) 375-6003

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This page was last updated on: 5/11/2023