31D2195341 CLIA NUMBER - PALMYRA PHARMACY

Laboratory Demographics

  • CLIA Code: 31D2195341
  • Facility Name: PALMYRA PHARMACY
  • Facility Address: 1 E BROAD STREET
    PALMYRA, NJ
    ZIP 08065
  • Facility Phone: 856 786-1615
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JITENKUMAR P. NATHANI
  • NPI Number: 1689922569
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2195341
LAB Type Pharmacy
Facility Name PALMYRA PHARMACY
Street 1 E BROAD STREET
City PALMYRA
State NJ
ZIP 08065
Phone 856 786-1615
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