31D2217860 CLIA NUMBER - NEW JERSEY CVS PHARMACY LLC DBA CVS/PHARMACY#01059

Laboratory Demographics

CLIA Number: 31D2217860

Facility Name: NEW JERSEY CVS PHARMACY LLC DBA CVS/PHARMACY#01059

Facility Address:
35 INTERSTATE SHOP CTR
RAMSEY, NJ
ZIP 07446
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Facility Phone Number: 401 770-6431

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1457728354

Taxonomy: 2081P2900X - Physical Medicine & Rehabilitation
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.

CLIA Record

Field Name Field Value
CLIA Number 31D2217860
LAB Type Pharmacy
Facility Name NEW JERSEY CVS PHARMACY LLC DBA CVS/PHARMACY#01059
Street 35 INTERSTATE SHOP CTR
City RAMSEY
State NJ
ZIP 07446
Phone 401 770-6431
CertificateType 4
CertificateEffectiveDate 3/24/2023
CertificateExpirationDate 3/23/2025
FacilityType Waiver

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