31D2250921 CLIA NUMBER - CONCORD PHARMACY

Laboratory Demographics

  • CLIA Code: 31D2250921
  • Facility Name: CONCORD PHARMACY
  • Facility Address: 317 MARTIN LUTHER KING, JR DRIVE
    JERSEY CITY, NJ
    ZIP 07305
  • Facility Phone: 201 685-7070
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: REMON ENDRAWES
  • NPI Number: 1154089282
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2250921
LAB Type Pharmacy
Facility Name CONCORD PHARMACY
Street 317 MARTIN LUTHER KING, JR DRIVE
City JERSEY CITY
State NJ
ZIP 07305
Phone 201 685-7070
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/31/2024
Certificate Expiration Date 1/30/2026
Facility Type Pharmacy
Lab Director REMON ENDRAWES

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