31D2225572 CLIA NUMBER - NEW JERSEY CVS PHARMACY LLC DBA CVS/PHARMACY#06064

Laboratory Demographics

  • CLIA Code: 31D2225572
  • Facility Name: NEW JERSEY CVS PHARMACY LLC DBA CVS/PHARMACY#06064
  • Facility Address: 1646 MAIN AVE
    CLIFTON, NJ
    ZIP 07011
  • Facility Phone: 866 289-2727
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ALAELDEAN ASSAF
  • NPI Number: 1629160106
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2225572
LAB Type Pharmacy
Facility Name NEW JERSEY CVS PHARMACY LLC DBA CVS/PHARMACY#06064
Street 1646 MAIN AVE
City CLIFTON
State NJ
ZIP 07011
Phone 866 289-2727
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 ALAELDEAN ASSAF

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