31D2204774 CLIA NUMBER - BEDMINSTER SPECIALTY PHARMACY INC

Laboratory Demographics

  • CLIA Code: 31D2204774
  • Facility Name: BEDMINSTER SPECIALTY PHARMACY INC
  • Facility Address: 1560 US HIGHWAY 206
    BEDMINSTER, NJ
    ZIP 07921
  • Facility Phone: (908) 396-7000
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HISHAM S. MABROUK
  • NPI Number: 1043871635
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2204774
LAB Type Pharmacy
Facility Name BEDMINSTER SPECIALTY PHARMACY INC
Street 1560 US HIGHWAY 206
City BEDMINSTER
State NJ
ZIP 07921
Phone 9083967000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/10/2024
Certificate Expiration Date 12/9/2026
Facility Type Pharmacy
Lab Director HISHAM S. MABROUK

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This page was last updated on: 5/18/2026