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31D2282247 CLIA NUMBER - NEW JERSEY CVS PHARMACY LLC DBA CVS/PHARMACY #00208

Laboratory Demographics

CLIA Number: 31D2282247

Facility Name: NEW JERSEY CVS PHARMACY LLC DBA CVS/PHARMACY #00208

Facility Address:
350 BUCK ROAD
GLASSBORO, NJ
ZIP 08028
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Facility Phone Number: 856 307-0060

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1235327206

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name Field Value
CLIA Number 31D2282247
LAB Type Pharmacy
Facility Name NEW JERSEY CVS PHARMACY LLC DBA CVS/PHARMACY #00208
Street 350 BUCK ROAD
City GLASSBORO
State NJ
ZIP 08028
Phone 856 307-0060
CertificateType 4
CertificateEffectiveDate 5/18/2023
CertificateExpirationDate 5/17/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024