31D2225491 CLIA NUMBER - NEW JERSEY CVS PHARMACY LLC DBA CVS/PHARMACY #10211

Laboratory Demographics

  • CLIA Code: 31D2225491
  • Facility Name: NEW JERSEY CVS PHARMACY LLC DBA CVS/PHARMACY #10211
  • Facility Address: 453 VALLEY STREET
    MAPLEWOOD, NJ
    ZIP 07040
  • Facility Phone: 866 389-2727
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AYMAN ELTOOKHY
  • NPI Number: 1427641703
  • Taxonomy: 363LP0808X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 31D2225491
LAB Type Pharmacy
Facility Name NEW JERSEY CVS PHARMACY LLC DBA CVS/PHARMACY #10211
Street 453 VALLEY STREET
City MAPLEWOOD
State NJ
ZIP 07040
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 5/21/2025
Certificate Expiration Date 5/20/2027
Facility Type Pharmacy
Lab Director AYMAN ELTOOKHY

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