31D2195340 CLIA NUMBER - MEDICAL MALL PHARMACY

Laboratory Demographics

  • CLIA Code: 31D2195340
  • Facility Name: MEDICAL MALL PHARMACY
  • Facility Address: 9 HOSPITAL DRIVE, STE #B3
    TOMS RIVER, NJ
    ZIP 08755
  • Facility Phone: 732 244-4747
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JITENKUMAR P. NATHANI
  • NPI Number: 1235140757
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2195340
LAB Type Pharmacy
Facility Name MEDICAL MALL PHARMACY
Street 9 HOSPITAL DRIVE, STE #B3
City TOMS RIVER
State NJ
ZIP 08755
Phone 732 244-4747
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/8/2024
Certificate Expiration Date 10/7/2026
Facility Type Pharmacy
Lab Director JITENKUMAR P. NATHANI

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