31D2225717 CLIA NUMBER - NEW JERSEY CVS PHARMACY LLC DBA CVS/PHARMACY #06170

Laboratory Demographics

  • CLIA Code: 31D2225717
  • Facility Name: NEW JERSEY CVS PHARMACY LLC DBA CVS/PHARMACY #06170
  • Facility Address: 700 BROAD ST
    RIVERTON, NJ
    ZIP 08077
  • Facility Phone: 866 389-2727
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: GERALD ODONNELL
  • NPI Number: 1992838171
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2225717
LAB Type Pharmacy
Facility Name NEW JERSEY CVS PHARMACY LLC DBA CVS/PHARMACY #06170
Street 700 BROAD ST
City RIVERTON
State NJ
ZIP 08077
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 5/24/2025
Certificate Expiration Date 5/23/2027
Facility Type Pharmacy
Lab Director GERALD ODONNELL

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