31D2227113 CLIA NUMBER - ST GEORGE HEATHCARE INC

Laboratory Demographics

CLIA Number: 31D2227113

Facility Name: ST GEORGE HEATHCARE INC

Facility Address:
332 W ST GEORGES AVENUE
LINDEN, NJ
ZIP 07036
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Facility Phone Number: 908 925-4567

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1972883734

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name	Field Value
CLIA Number	31D2227113
LAB Type	Pharmacy
Facility Name	ST GEORGE HEATHCARE INC
Street	332 W ST GEORGES AVENUE
City	LINDEN
State	NJ
ZIP	07036
Phone	908 925-4567
CertificateType	4
CertificateEffectiveDate	6/8/2023
CertificateExpirationDate	6/7/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024