31D2207022 CLIA NUMBER - WASIM CORPORATION DBA STAR PHARMACY

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Laboratory Demographics

CLIA Number: 31D2207022

Facility Name: WASIM CORPORATION DBA STAR PHARMACY

Facility Address:
4 BRUNSWICK AVE
EDISON, NJ
ZIP 08817
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Facility Phone Number: 732 777-1717

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1750439170

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	31D2207022
LAB Type	Pharmacy
Facility Name	WASIM CORPORATION DBA STAR PHARMACY
Street	4 BRUNSWICK AVE
City	EDISON
State	NJ
ZIP	08817
Phone	732 777-1717
CertificateType	4
CertificateEffectiveDate	12/23/2022
CertificateExpirationDate	12/22/2024
FacilityType	Waiver

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