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31D2208027 CLIA NUMBER - PLAINS PHARMACY

Laboratory Demographics

CLIA Number: 31D2208027

Facility Name: PLAINS PHARMACY

Facility Address:
578 VALLEY ROAD
WAYNE, NJ
ZIP 07470
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Facility Phone Number: 973 694-5522

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1013048065

Taxonomy: 183500000X - Pharmacist
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

CLIA Record

Field Name Field Value
CLIA Number 31D2208027
LAB Type Pharmacy
Facility Name PLAINS PHARMACY
Street 578 VALLEY ROAD
City WAYNE
State NJ
ZIP 07470
Phone 973 694-5522
CertificateType 4
CertificateEffectiveDate 1/4/2023
CertificateExpirationDate 1/3/2025
FacilityType Waiver

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