31D2281078 CLIA NUMBER - NEW JERSEY CVS PHARMACY LLC DBA CVS/PHARMACY #05855

Laboratory Demographics

  • CLIA Code: 31D2281078
  • Facility Name: NEW JERSEY CVS PHARMACY LLC DBA CVS/PHARMACY #05855
  • Facility Address: 1163 E CHESTNUT AVE
    VINELAND, NJ
    ZIP 08360
  • Facility Phone: 856 205-7371
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AMANDA FARIAS
  • NPI Number: 1558453159
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2281078
LAB Type Pharmacy
Facility Name NEW JERSEY CVS PHARMACY LLC DBA CVS/PHARMACY #05855
Street 1163 E CHESTNUT AVE
City VINELAND
State NJ
ZIP 08360
Phone 856 205-7371
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/2/2025
Certificate Expiration Date 5/1/2027
Facility Type Pharmacy
Lab Director AMANDA FARIAS

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