10D2199199 CLIA NUMBER - MALABAR PHARMACY LLC

Laboratory Demographics

  • CLIA Code: 10D2199199
  • Facility Name: MALABAR PHARMACY LLC
  • Facility Address: 930-1 MALABAR ROAD SE
    PALM BAY, FL
    ZIP 32907
  • Facility Phone: 321 775-0911
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANKUR A. SHAN
  • NPI Number: 1144541830
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2199199
LAB Type Pharmacy
Facility Name MALABAR PHARMACY LLC
Street 930-1 MALABAR ROAD SE
City PALM BAY
State FL
ZIP 32907
Phone 321 775-0911
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/6/2024
Certificate Expiration Date 11/5/2026
Facility Type Pharmacy
Lab Director ANKUR A. SHAN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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