31D2225323 CLIA NUMBER - NEW JERSEY CVS PHARMACY LLC DBA CVS/PHARMACY #04644

Laboratory Demographics

  • CLIA Code: 31D2225323
  • Facility Name: NEW JERSEY CVS PHARMACY LLC DBA CVS/PHARMACY #04644
  • Facility Address: 80 PIERMONT ROAD
    CRESSKILL, NJ
    ZIP 07626
  • Facility Phone: 866 389-2727
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KRISTEN HOLOHAN
  • NPI Number: 1013140144
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2225323
LAB Type Pharmacy
Facility Name NEW JERSEY CVS PHARMACY LLC DBA CVS/PHARMACY #04644
Street 80 PIERMONT ROAD
City CRESSKILL
State NJ
ZIP 07626
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 KRISTEN HOLOHAN

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