31D2274642 CLIA NUMBER - SAV-ON PHARMACY #0664

Laboratory Demographics

  • CLIA Code: 31D2274642
  • Facility Name: SAV-ON PHARMACY #0664
  • Facility Address: 175 ROUTE 70
    MEDFORD, NJ
    ZIP 08055
  • Facility Phone: 609 953-7692
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MICHELE N. KAGUYUTAN
  • NPI Number: 1609823160
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2274642
LAB Type Pharmacy
Facility Name SAV-ON PHARMACY #0664
Street 175 ROUTE 70
City MEDFORD
State NJ
ZIP 08055
Phone 609 953-7692
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/9/2025
Certificate Expiration Date 1/8/2027
Facility Type Pharmacy
Lab Director MICHELE N. KAGUYUTAN

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