31D2281229 CLIA NUMBER - NEW JERSEY CVS PHARMACY, LLC DBA CVS/PHARMACY #02456

Laboratory Demographics

  • CLIA Code: 31D2281229
  • Facility Name: NEW JERSEY CVS PHARMACY, LLC DBA CVS/PHARMACY #02456
  • Facility Address: 8 EDEN AVENUE
    EDISON, NJ
    ZIP 08817
  • Facility Phone: 732 248-7911
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RAFEEK MINA
  • NPI Number: 1972695575
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2281229
LAB Type Pharmacy
Facility Name NEW JERSEY CVS PHARMACY, LLC DBA CVS/PHARMACY #02456
Street 8 EDEN AVENUE
City EDISON
State NJ
ZIP 08817
Phone 732 248-7911
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/3/2025
Certificate Expiration Date 5/2/2027
Facility Type Pharmacy
Lab Director RAFEEK MINA

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