31D2282164 CLIA NUMBER - NEW JERSEY CVS PHARMACY LLC DBA CVS/PHARMACY #04841

Laboratory Demographics

  • CLIA Code: 31D2282164
  • Facility Name: NEW JERSEY CVS PHARMACY LLC DBA CVS/PHARMACY #04841
  • Facility Address: 1 ROUTE US 9 SOUTH
    MARMORA, NJ
    ZIP 08223
  • Facility Phone: (609) 390-0060
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PRADIP AGRAWAL
  • NPI Number: 1790074607
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2282164
LAB Type Pharmacy
Facility Name NEW JERSEY CVS PHARMACY LLC DBA CVS/PHARMACY #04841
Street 1 ROUTE US 9 SOUTH
City MARMORA
State NJ
ZIP 08223
Phone 6093900060
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/17/2025
Certificate Expiration Date 5/16/2027
Facility Type Pharmacy
Lab Director PRADIP AGRAWAL

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This page was last updated on: 5/18/2026