31D2275053 CLIA NUMBER - LUXURY PHARMACY

Laboratory Demographics

  • CLIA Code: 31D2275053
  • Facility Name: LUXURY PHARMACY
  • Facility Address: 808 BROADWAY
    BAYONNE, NJ
    ZIP 07002
  • Facility Phone: 201 354-9711
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: OSAMA MICHAEL
  • NPI Number: 1518666775
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2275053
LAB Type Pharmacy
Facility Name LUXURY PHARMACY
Street 808 BROADWAY
City BAYONNE
State NJ
ZIP 07002
Phone 201 354-9711
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/17/2025
Certificate Expiration Date 1/16/2027
Facility Type Pharmacy
Lab Director OSAMA MICHAEL

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