31D2225299 CLIA NUMBER - NEW JERSEY CVS PHARMACY #05491

Laboratory Demographics

  • CLIA Code: 31D2225299
  • Facility Name: NEW JERSEY CVS PHARMACY #05491
  • Facility Address: 45 FRANKLIN TURNPIKE
    MAHWAH, NJ
    ZIP 07430
  • Facility Phone: 866 389-2727
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOHN LAGRIMAS
  • NPI Number: 1861596686
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2225299
LAB Type Pharmacy
Facility Name NEW JERSEY CVS PHARMACY #05491
Street 45 FRANKLIN TURNPIKE
City MAHWAH
State NJ
ZIP 07430
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 5/20/2025
Certificate Expiration Date 5/19/2027
Facility Type Pharmacy
Lab Director JOHN LAGRIMAS

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