31D2245996 CLIA NUMBER - TERRY DRUGS

Laboratory Demographics

  • CLIA Code: 31D2245996
  • Facility Name: TERRY DRUGS
  • Facility Address: 1049 BROAD ST
    BLOOMFIELD, NJ
    ZIP 07003
  • Facility Phone: 973 338-7300
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LAWRENCE SALVADOR
  • NPI Number: 1720143936
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2245996
LAB Type Pharmacy
Facility Name TERRY DRUGS
Street 1049 BROAD ST
City BLOOMFIELD
State NJ
ZIP 07003
Phone 973 338-7300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/20/2023
Certificate Expiration Date 12/19/2025
Facility Type Pharmacy
Lab Director LAWRENCE SALVADOR

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