31D2220938 CLIA NUMBER - NEW JERSEY CVS PHARMACY, LLC DBA CVS/PHARMACY #02092

Laboratory Demographics

  • CLIA Code: 31D2220938
  • Facility Name: NEW JERSEY CVS PHARMACY, LLC DBA CVS/PHARMACY #02092
  • Facility Address: 255 RTE 46
    BUDD LAKE, NJ
    ZIP 07828
  • Facility Phone: 401 770-6431
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOHN FERRIS
  • NPI Number: 1700978285
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2220938
LAB Type Pharmacy
Facility Name NEW JERSEY CVS PHARMACY, LLC DBA CVS/PHARMACY #02092
Street 255 RTE 46
City BUDD LAKE
State NJ
ZIP 07828
Phone 401 770-6431
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/16/2025
Certificate Expiration Date 4/15/2027
Facility Type Pharmacy
Lab Director JOHN FERRIS

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