31D2219169 CLIA NUMBER - NEW JERSEY CVS PHARMACY LLC DBA CVS/PHARMACY #02796

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Laboratory Demographics

CLIA Number: 31D2219169

Facility Name: NEW JERSEY CVS PHARMACY LLC DBA CVS/PHARMACY #02796

Facility Address:
60 WESTFIELD AVENUE
CLARK, NJ
ZIP 07066
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Facility Phone Number: 401 770-6431

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1639495187

Taxonomy: 207RG0100X - Internal Medicine
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

CLIA Record

Field Name	Field Value
CLIA Number	31D2219169
LAB Type	Pharmacy
Facility Name	NEW JERSEY CVS PHARMACY LLC DBA CVS/PHARMACY #02796
Street	60 WESTFIELD AVENUE
City	CLARK
State	NJ
ZIP	07066
Phone	401 770-6431
CertificateType	4
CertificateEffectiveDate	4/2/2023
CertificateExpirationDate	4/1/2025
FacilityType	Waiver

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