31D2282435 CLIA NUMBER - NEW JERSEY CVS PHARMACY, LLC DBA CVS/PHARMACY #01088

Laboratory Demographics

  • CLIA Code: 31D2282435
  • Facility Name: NEW JERSEY CVS PHARMACY, LLC DBA CVS/PHARMACY #01088
  • Facility Address: 27 MORRISTOWN ROAD
    MATAWAN, NJ
    ZIP 07747
  • Facility Phone: 732 583-4347
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: STAN KOPYLOV
  • NPI Number: 1639261357
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2282435
LAB Type Pharmacy
Facility Name NEW JERSEY CVS PHARMACY, LLC DBA CVS/PHARMACY #01088
Street 27 MORRISTOWN ROAD
City MATAWAN
State NJ
ZIP 07747
Phone 732 583-4347
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/22/2025
Certificate Expiration Date 5/21/2027
Facility Type Pharmacy
Lab Director STAN KOPYLOV

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