31D2272681 CLIA NUMBER - MONTCLAIR PHARMACY RX LLC

Laboratory Demographics

  • CLIA Code: 31D2272681
  • Facility Name: MONTCLAIR PHARMACY RX LLC
  • Facility Address: 732 VALLEY ROAD
    UPPER MONTCLAIR, NJ
    ZIP 07043
  • Facility Phone: 973 744-2113
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NANCY SAHATA
  • NPI Number: 1245977727
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2272681
LAB Type Pharmacy
Facility Name MONTCLAIR PHARMACY RX LLC
Street 732 VALLEY ROAD
City UPPER MONTCLAIR
State NJ
ZIP 07043
Phone 973 744-2113
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/28/2024
Certificate Expiration Date 11/27/2026
Facility Type Pharmacy
Lab Director NANCY SAHATA

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