31D2224169 CLIA NUMBER - NEW JERSEY CVS PHARMACY, LLC DBA CVS/PHARMACY #00814

Laboratory Demographics

  • CLIA Code: 31D2224169
  • Facility Name: NEW JERSEY CVS PHARMACY, LLC DBA CVS/PHARMACY #00814
  • Facility Address: 50 WEST MADISON AVENUE
    DUMONT, NJ
    ZIP 07628
  • Facility Phone: 866 389-2727
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SAE KANG
  • NPI Number: 1063595122
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2224169
LAB Type Pharmacy
Facility Name NEW JERSEY CVS PHARMACY, LLC DBA CVS/PHARMACY #00814
Street 50 WEST MADISON AVENUE
City DUMONT
State NJ
ZIP 07628
Phone 866 389-2727
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/12/2025
Certificate Expiration Date 5/11/2027
Facility Type Pharmacy
Lab Director SAE KANG

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