31D2282374 CLIA NUMBER - NEW JERSEY CVS PHARMACY LLC DBA CVS/PHARMACY #00462

Laboratory Demographics

CLIA Number: 31D2282374

Facility Name: NEW JERSEY CVS PHARMACY LLC DBA CVS/PHARMACY #00462

Facility Address:
69 S WHITE HORSE PIKE
STRATFORD, NJ
ZIP 08084
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Facility Phone Number: 856 346-4138

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1154405702

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	31D2282374
LAB Type	Pharmacy
Facility Name	NEW JERSEY CVS PHARMACY LLC DBA CVS/PHARMACY #00462
Street	69 S WHITE HORSE PIKE
City	STRATFORD
State	NJ
ZIP	08084
Phone	856 346-4138
CertificateType	4
CertificateEffectiveDate	5/19/2023
CertificateExpirationDate	5/18/2025
FacilityType	Waiver

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