31D2219337 CLIA NUMBER - OUTPATIENT PHARMACY CORP

Laboratory Demographics

  • CLIA Code: 31D2219337
  • Facility Name: OUTPATIENT PHARMACY CORP
  • Facility Address: 206 BERGEN AVENUE SUITE 204
    KEARNY, NJ
    ZIP 07032
  • Facility Phone: 201 991-0800
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MEYER DAVYDOV
  • NPI Number: 1073007340
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2219337
LAB Type Pharmacy
Facility Name OUTPATIENT PHARMACY CORP
Street 206 BERGEN AVENUE SUITE 204
City KEARNY
State NJ
ZIP 07032
Phone 201 991-0800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/5/2025
Certificate Expiration Date 4/4/2027
Facility Type Pharmacy
Lab Director MEYER DAVYDOV

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