31D2229806 CLIA NUMBER - GEORGIES OUTPATIENT PHARMACY

Laboratory Demographics

  • CLIA Code: 31D2229806
  • Facility Name: GEORGIES OUTPATIENT PHARMACY
  • Facility Address: 6 EARLIN AVENUE, SUITE 130
    BROWNS MILLS, NJ
    ZIP 08015
  • Facility Phone: 609 726-5800
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ROOTVIK MEHTA
  • NPI Number: 1891359923
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2229806
LAB Type Pharmacy
Facility Name GEORGIES OUTPATIENT PHARMACY
Street 6 EARLIN AVENUE, SUITE 130
City BROWNS MILLS
State NJ
ZIP 08015
Phone 609 726-5800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/16/2025
Certificate Expiration Date 7/15/2027
Facility Type Pharmacy
Lab Director ROOTVIK MEHTA

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