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Welcome To Middle Village Pharmacy
Welcome To Middle Village Pharmacy
Hi there, please fill out and submit this COVID-19 Test intake form.  
15Questions
COVID Intake Form
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    Required by CDC
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    Please select one that best describes your exposure
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    We do not bill your insurance. This information is required in the event of a positive result. We are required to send your sample to Acutis Labs for further testing. Results may take 2-3 business days. Please click NEXT if you do not have insurance.
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    Testing Hours 

    (Subject to change) 

     

    Monday - Friday -  10am-5pm

    Saturday - Closed 

    Sunday - Closed

     

    We are planning to open on the weekend in the coming weeks.

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     Please save this for your records 

     

    Ordering Facility

    Middle Village Pharmacy

    393 Piaget Ave Clifton, NJ 07011

    CLIA Number: 31D2195423 

    Phone: 973-478-0600

     

    Pharmacist in Charge 

    Name: Bhaveek Mistry

    License Number:28RI03665500

    NPI: 1194191361

     

    Ordering Physician 

    New Jersey Department of Health Issuing Official

    Name: Andrew L Falzon, MD

    License Number: 25MA07270200

    NPI: 1689186579 

     

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    Please read each description carefully and choose the tests is best for your end user.
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          ORDER SUMMARY
          Total costUSD
          • Rapid PCR --------(by Abbot ID NOW system M-PCR COVID-19 Test)M-PCR Test via Abbott ID NOW system
            $178.00+Remove
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          • RT PCR Test Results in 2 to 3 business days.
            $158.00+Remove
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          • Rapid ANTIGEN ------- (by AccessBio COVID-19 Antigen Test)
            $85.00+Remove
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            Total cost $0.00
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