31D2282367 CLIA NUMBER - NEW JERSEY CVS PHARMACY LLC DBA CVS/PHARMACY #02284

Laboratory Demographics

  • CLIA Code: 31D2282367
  • Facility Name: NEW JERSEY CVS PHARMACY LLC DBA CVS/PHARMACY #02284
  • Facility Address: 2545 HOOPER AVE
    BRICK, NJ
    ZIP 08723
  • Facility Phone: 732 920-1604
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ROBERT GROSSI
  • NPI Number: 1467701185
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2282367
LAB Type Pharmacy
Facility Name NEW JERSEY CVS PHARMACY LLC DBA CVS/PHARMACY #02284
Street 2545 HOOPER AVE
City BRICK
State NJ
ZIP 08723
Phone 732 920-1604
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 ROBERT GROSSI

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