31D2241429 CLIA NUMBER - BONHAMTOWN PHARMACY LLC

Laboratory Demographics

  • CLIA Code: 31D2241429
  • Facility Name: BONHAMTOWN PHARMACY LLC
  • Facility Address: 2853 WOODBRIDGE AVE STE 8
    EDISON, NJ
    ZIP 08837
  • Facility Phone: 732 605-4307
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANKUR SHAH
  • NPI Number: 1730787938
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2241429
LAB Type Pharmacy
Facility Name BONHAMTOWN PHARMACY LLC
Street 2853 WOODBRIDGE AVE STE 8
City EDISON
State NJ
ZIP 08837
Phone 732 605-4307
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/28/2023
Certificate Expiration Date 10/27/2025
Facility Type Pharmacy
Lab Director ANKUR SHAH

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