31D2102609 CLIA NUMBER - GARDEN STATE MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 31D2102609
  • Facility Name: GARDEN STATE MEDICAL CENTER
  • Facility Address: 1314 HOOPER AVENUE, BUILDING B
    TOMS RIVER, NJ
    ZIP 08753
  • Facility Phone: 732 202-3000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DHARAM P. MANN
  • NPI Number: 1205609872
  • Taxonomy: 363LP0808X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 31D2102609
LAB Type Physician Office
Facility Name GARDEN STATE MEDICAL CENTER
Street 1314 HOOPER AVENUE, BUILDING B
City TOMS RIVER
State NJ
ZIP 08753
Phone 732 202-3000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/25/2025
Certificate Expiration Date 9/24/2027
Facility Type Physician Office
Lab Director DHARAM P. MANN

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