31D2248445 CLIA NUMBER - KOMISHANE'S PHARMACY

Laboratory Demographics

CLIA Number: 31D2248445

Facility Name: KOMISHANE'S PHARMACY

Facility Address:
199 STUYVESANT AVE
NEWARK, NJ
ZIP 07106
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Facility Phone Number: (973) 399-0900

Facility Type: PHARMACY

Certificate Type: Waiver

NPI Number: 1174683999

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

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

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This page was last updated on: 5/11/2023