31D2218553 CLIA NUMBER - NEW JERSEY CVS PHARMACY LLC DBA CVS/PHARMACY #02300

Laboratory Demographics

CLIA Number: 31D2218553

Facility Name: NEW JERSEY CVS PHARMACY LLC DBA CVS/PHARMACY #02300

Facility Address:
231 WEST BROAD STREET
PAULSBORO, NJ
ZIP 08066
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Facility Phone Number: 401 770-6431

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1578655171

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	31D2218553
LAB Type	Pharmacy
Facility Name	NEW JERSEY CVS PHARMACY LLC DBA CVS/PHARMACY #02300
Street	231 WEST BROAD STREET
City	PAULSBORO
State	NJ
ZIP	08066
Phone	401 770-6431
CertificateType	4
CertificateEffectiveDate	3/29/2023
CertificateExpirationDate	3/28/2025
FacilityType	Waiver

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