31D1018204 CLIA NUMBER - DOVER INTERNAL MEDICINE

Laboratory Demographics

  • CLIA Code: 31D1018204
  • Facility Name: DOVER INTERNAL MEDICINE
  • Facility Address: 530 LAKEHURST ROAD
    TOMS RIVER, NJ
    ZIP 08755
  • Facility Phone: (732) 341-8901
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TITTYMOL MATHEW MD
  • NPI Number: 1164695185
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 31D1018204
LAB Type Physician Office
Facility Name DOVER INTERNAL MEDICINE
Street 530 LAKEHURST ROAD
City TOMS RIVER
State NJ
ZIP 08755
Phone 7323418901
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/16/2025
Certificate Expiration Date 10/15/2027
Facility Type Physician Office
Lab Director TITTYMOL MATHEW MD

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: 5/18/2026