31D2321556 CLIA NUMBER - MATAWAN PHARMACY

Laboratory Demographics

  • CLIA Code: 31D2321556
  • Facility Name: MATAWAN PHARMACY
  • Facility Address: 1070 ROUTE 34 SUITE K
    MATAWAN, NJ
    ZIP 07747
  • Facility Phone: 732 705-3722
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DIANE ZACCARIA
  • NPI Number: 1164953808
  • Taxonomy: 208100000X - Physical Medicine & Rehabilitation

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CLIA Record

Field Name Field Value
CLIA Number 31D2321556
LAB Type Pharmacy
Facility Name MATAWAN PHARMACY
Street 1070 ROUTE 34 SUITE K
City MATAWAN
State NJ
ZIP 07747
Phone 732 705-3722
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/7/2025
Certificate Expiration Date 4/6/2027
Facility Type Pharmacy
Lab Director DIANE ZACCARIA

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