31D2261993 CLIA NUMBER - LIFE CARE PHARMACY

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Laboratory Demographics

CLIA Number: 31D2261993

Facility Name: LIFE CARE PHARMACY

Facility Address:
3199 JOHN F KENNEDY BLVD
JERSEY CITY, NJ
ZIP 07306
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Facility Phone Number: 201 425-1187

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1811656622

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name	Field Value
CLIA Number	31D2261993
LAB Type	Pharmacy
Facility Name	LIFE CARE PHARMACY
Street	3199 JOHN F KENNEDY BLVD
City	JERSEY CITY
State	NJ
ZIP	07306
Phone	201 425-1187
CertificateType	4
CertificateEffectiveDate	6/8/2022
CertificateExpirationDate	6/7/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024