31D2221133 CLIA NUMBER - SUNRISE WELLNESS INC DBA TOWN PHARMACY

Laboratory Demographics

  • CLIA Code: 31D2221133
  • Facility Name: SUNRISE WELLNESS INC DBA TOWN PHARMACY
  • Facility Address: 4911 BERGENLINE AVENUE
    WEST NEW YORK, NJ
    ZIP 07093
  • Facility Phone: 201 766-1900
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NEIL R. GODHANI
  • NPI Number: 1366785701
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2221133
LAB Type Pharmacy
Facility Name SUNRISE WELLNESS INC DBA TOWN PHARMACY
Street 4911 BERGENLINE AVENUE
City WEST NEW YORK
State NJ
ZIP 07093
Phone 201 766-1900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/19/2025
Certificate Expiration Date 4/18/2027
Facility Type Pharmacy
Lab Director NEIL R. GODHANI

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