31D2248445 CLIA NUMBER - KOMISHANE'S PHARMACY

Laboratory Demographics

  • CLIA Code: 31D2248445
  • Facility Name: KOMISHANE'S PHARMACY
  • Facility Address: 199 STUYVESANT AVE
    NEWARK, NJ
    ZIP 07106
  • Facility Phone: 973 399-0900
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MAYUR RANA
  • NPI Number: 1174683999
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2248445
LAB Type Pharmacy
Facility Name KOMISHANE'S PHARMACY
Street 199 STUYVESANT AVE
City NEWARK
State NJ
ZIP 07106
Phone 973 399-0900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/13/2024
Certificate Expiration Date 1/12/2026
Facility Type Pharmacy
Lab Director MAYUR RANA

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