31D2247599 CLIA NUMBER - DEROSA PHARMACY AND HOME HEALTHCARE

Laboratory Demographics

  • CLIA Code: 31D2247599
  • Facility Name: DEROSA PHARMACY AND HOME HEALTHCARE
  • Facility Address: 570 BLOOMFIELD AVE
    NEWARK, NJ
    ZIP 07107
  • Facility Phone: 973 482-6753
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KUSHYUP S. SHAH
  • NPI Number: 1063097368
  • Taxonomy: 3336L0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 31D2247599
LAB Type Pharmacy
Facility Name DEROSA PHARMACY AND HOME HEALTHCARE
Street 570 BLOOMFIELD AVE
City NEWARK
State NJ
ZIP 07107
Phone 973 482-6753
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/7/2024
Certificate Expiration Date 1/6/2026
Facility Type Pharmacy
Lab Director KUSHYUP S. SHAH

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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