31D1042646 CLIA NUMBER - FARAG A MANKARIOS MD

Laboratory Demographics

  • CLIA Code: 31D1042646
  • Facility Name: FARAG A MANKARIOS MD
  • Facility Address: 410 ROUTE 34 SUITE 216
    COLTS NECK, NJ
    ZIP 07722
  • Facility Phone: (732) 863-5515
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: FARAG A. MANKARIOS MD
  • NPI Number: 1912930082
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D1042646
LAB Type Physician Office
Facility Name FARAG A MANKARIOS MD
Street 410 ROUTE 34 SUITE 216
City COLTS NECK
State NJ
ZIP 07722
Phone 7328635515
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/5/2025
Certificate Expiration Date 7/4/2027
Facility Type Physician Office
Lab Director FARAG A. MANKARIOS MD

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This page was last updated on: 5/18/2026