31D2102614 CLIA NUMBER - GARDEN STATE MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 31D2102614
  • Facility Name: GARDEN STATE MEDICAL CENTER
  • Facility Address: 301 LAKEHURST ROAD
    TOMS RIVER, NJ
    ZIP 08755
  • Facility Phone: 732 202-3000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DHARAM P. MANN
  • NPI Number: 1588112163
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 31D2102614
LAB Type Physician Office
Facility Name GARDEN STATE MEDICAL CENTER
Street 301 LAKEHURST ROAD
City TOMS RIVER
State NJ
ZIP 08755
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