31D2282445 CLIA NUMBER - NEW JERSEY CVS PHARMACY, LLC DBA CVS/PHARMACY #10062

Laboratory Demographics

  • CLIA Code: 31D2282445
  • Facility Name: NEW JERSEY CVS PHARMACY, LLC DBA CVS/PHARMACY #10062
  • Facility Address: 483 STATE ROUTE 79
    MORGANVILLE, NJ
    ZIP 07751
  • Facility Phone: 732 970-0016
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KESHA GANDHI
  • NPI Number: 1922358258
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2282445
LAB Type Pharmacy
Facility Name NEW JERSEY CVS PHARMACY, LLC DBA CVS/PHARMACY #10062
Street 483 STATE ROUTE 79
City MORGANVILLE
State NJ
ZIP 07751
Phone 732 970-0016
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 KESHA GANDHI

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This page was last updated on: 6/4/2025