31D2235576 CLIA NUMBER - YAMNA LLC DBA KAYES DRUG STORE

Laboratory Demographics

CLIA Number: 31D2235576

Facility Name: YAMNA LLC DBA KAYES DRUG STORE

Facility Address:
1069 BERGEN ST
NEWARK, NJ
ZIP 07112
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Facility Phone Number: 973 926-4100

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1760530968

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	31D2235576
LAB Type	Pharmacy
Facility Name	YAMNA LLC DBA KAYES DRUG STORE
Street	1069 BERGEN ST
City	NEWARK
State	NJ
ZIP	07112
Phone	973 926-4100
CertificateType	4
CertificateEffectiveDate	9/10/2023
CertificateExpirationDate	9/9/2025
FacilityType	Waiver

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