31D2195423 CLIA NUMBER - MIDDLE VILLAGE PHARMACY

Laboratory Demographics

  • CLIA Code: 31D2195423
  • Facility Name: MIDDLE VILLAGE PHARMACY
  • Facility Address: 393 PIAGET AVENUE
    CLIFTON, NJ
    ZIP 07011
  • Facility Phone: 973 478-0600
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BHAVEEK MISTRY
  • NPI Number: 1134226061
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2195423
LAB Type Pharmacy
Facility Name MIDDLE VILLAGE PHARMACY
Street 393 PIAGET AVENUE
City CLIFTON
State NJ
ZIP 07011
Phone 973 478-0600
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 BHAVEEK MISTRY

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