31D2215818 CLIA NUMBER - BELLEVILLE PHARMACY

Laboratory Demographics

  • CLIA Code: 31D2215818
  • Facility Name: BELLEVILLE PHARMACY
  • Facility Address: 338 WASHINGTON AVE
    BELLEVILLE, NJ
    ZIP 07109
  • Facility Phone: 973 759-1956
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MIRSADA PETOVIC
  • NPI Number: 1033505433
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2215818
LAB Type Pharmacy
Facility Name BELLEVILLE PHARMACY
Street 338 WASHINGTON AVE
City BELLEVILLE
State NJ
ZIP 07109
Phone 973 759-1956
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/8/2025
Certificate Expiration Date 3/7/2027
Facility Type Pharmacy
Lab Director MIRSADA PETOVIC

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