31D2282364 CLIA NUMBER - NEW JERSEY CVS PHARMACY LLC DBA CVS/PHARMACY # 03596

Laboratory Demographics

  • CLIA Code: 31D2282364
  • Facility Name: NEW JERSEY CVS PHARMACY LLC DBA CVS/PHARMACY # 03596
  • Facility Address: 412 SPRINGFIELD AVE
    BERKELEY HEIGHTS, NJ
    ZIP 07922
  • Facility Phone: 908 464-7615
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DONNA DEVINCENTIS
  • NPI Number: 1972971869
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2282364
LAB Type Pharmacy
Facility Name NEW JERSEY CVS PHARMACY LLC DBA CVS/PHARMACY # 03596
Street 412 SPRINGFIELD AVE
City BERKELEY HEIGHTS
State NJ
ZIP 07922
Phone 908 464-7615
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/19/2025
Certificate Expiration Date 5/18/2027
Facility Type Pharmacy
Lab Director DONNA DEVINCENTIS

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