Clinical Laboratory Information
Similar CLIA Codes
|
|
CLIA Number
|
31D2241462
|
|
Clinical laboratory number
|
|
Lab Name
|
MADURA RX LLC DBA MADURA PHARMACY
|
|
Laboratory Name
|
|
Lab Type
|
Pharmacy
|
|
Laboratory Type
|
|
Certificate Type
|
Waiver
|
|
Clinical laboratory certificate type
|
Contacts |
|
Phone
|
732-721-1732
|
|
Laboratory telephone number
|
|
Fax
|
732-553-7252
|
|
Fax number of the provider.
|
Facility Location |
|
Street Address
|
115 N BROADWAY
|
|
Primary location adress line
|
|
City
|
SOUTH AMBOY
|
|
Primary location city name
|
|
State
|
NJ
|
|
Primary location state name
|
|
Zip
|
08879
|
|
Primary location postal code
|