31D2205854 CLIA NUMBER - DEBLIECK'S PHARMACY

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Laboratory Demographics

CLIA Number: 31D2205854

Facility Name: DEBLIECK'S PHARMACY

Facility Address:
467 HIGH MOUNTAIN ROAD
NORTH HALEDON, NJ
ZIP 07508
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Facility Phone Number: 973 427-6300

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1427134162

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	31D2205854
LAB Type	Pharmacy
Facility Name	DEBLIECK'S PHARMACY
Street	467 HIGH MOUNTAIN ROAD
City	NORTH HALEDON
State	NJ
ZIP	07508
Phone	973 427-6300
CertificateType	4
CertificateEffectiveDate	12/16/2022
CertificateExpirationDate	12/15/2024
FacilityType	Waiver

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