31D2207498 CLIA NUMBER - AVENEL PHARMACY INC

Laboratory Demographics

  • CLIA Code: 31D2207498
  • Facility Name: AVENEL PHARMACY INC
  • Facility Address: 994 RAHWAY AVENUE
    AVENEL, NJ
    ZIP 07001
  • Facility Phone: 732 634-1914
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HANK INCOGNITO
  • NPI Number: 1316044241
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2207498
LAB Type Pharmacy
Facility Name AVENEL PHARMACY INC
Street 994 RAHWAY AVENUE
City AVENEL
State NJ
ZIP 07001
Phone 732 634-1914
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/29/2024
Certificate Expiration Date 12/28/2026
Facility Type Pharmacy
Lab Director HANK INCOGNITO

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This page was last updated on: 9/29/2025