31D2225500 CLIA NUMBER - NEW JERSEY CVS PHARMACY LLC DBA CVS/PHARMACY #10611

Laboratory Demographics

  • CLIA Code: 31D2225500
  • Facility Name: NEW JERSEY CVS PHARMACY LLC DBA CVS/PHARMACY #10611
  • Facility Address: 1000 WEST ST GEORGE'S AVE CVS/PHARMACY #10611
    LINDEN, NJ
    ZIP 07036
  • Facility Phone: 866 389-2727
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ABDELAZIZ KHALIFA
  • NPI Number: 1356536148
  • Taxonomy: 2085U0001X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 31D2225500
LAB Type Pharmacy
Facility Name NEW JERSEY CVS PHARMACY LLC DBA CVS/PHARMACY #10611
Street 1000 WEST ST GEORGE'S AVE CVS/PHARMACY #10611
City LINDEN
State NJ
ZIP 07036
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 ABDELAZIZ KHALIFA

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