31D2220539 CLIA NUMBER - BERGEN AVE DRUGS

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Laboratory Demographics

CLIA Number: 31D2220539

Facility Name: BERGEN AVE DRUGS

Facility Address:
745 BERGEN AVENUE
JERSEY CITY, NJ
ZIP 07306
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Facility Phone Number: 201 521-0545

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1184923823

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	31D2220539
LAB Type	Pharmacy
Facility Name	BERGEN AVE DRUGS
Street	745 BERGEN AVENUE
City	JERSEY CITY
State	NJ
ZIP	07306
Phone	201 521-0545
CertificateType	4
CertificateEffectiveDate	4/13/2023
CertificateExpirationDate	4/12/2025
FacilityType	Waiver

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