31D2210230 CLIA NUMBER - WAYNE PHARMACY

Laboratory Demographics

CLIA Number: 31D2210230

Facility Name: WAYNE PHARMACY

Facility Address:
1055 HAMBURG TPKE
WAYNE, NJ
ZIP 07470
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Facility Phone Number: 973 696-6667

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1033214721

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	31D2210230
LAB Type	Pharmacy
Facility Name	WAYNE PHARMACY
Street	1055 HAMBURG TPKE
City	WAYNE
State	NJ
ZIP	07470
Phone	973 696-6667
CertificateType	4
CertificateEffectiveDate	1/20/2023
CertificateExpirationDate	1/19/2025
FacilityType	Waiver

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