31D2211495 CLIA NUMBER - HORIZON PHARMACY

Laboratory Demographics

  • CLIA Code: 31D2211495
  • Facility Name: HORIZON PHARMACY
  • Facility Address: 115 CHRISTOPHER COLUMBUS DR
    JERSEY CITY, NJ
    ZIP 07302
  • Facility Phone: 551 200-9676
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SHELBY DERRICK
  • NPI Number: 1316476542
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2211495
LAB Type Pharmacy
Facility Name HORIZON PHARMACY
Street 115 CHRISTOPHER COLUMBUS DR
City JERSEY CITY
State NJ
ZIP 07302
Phone 551 200-9676
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/28/2025
Certificate Expiration Date 1/27/2027
Facility Type Pharmacy
Lab Director SHELBY DERRICK

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