31D0117075 CLIA NUMBER - COOPER FAMILY MEDICINE

Laboratory Demographics

CLIA Number: 31D0117075

Facility Name: COOPER FAMILY MEDICINE

Facility Address:
1050 N KINGS HIGHWAY SUITE 105
CHERRY HILL, NJ
ZIP 08034
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Facility Phone Number: 856 321-0303

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1649217175

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name Field Value
CLIA Number 31D0117075
LAB Type Physician Office
Facility Name COOPER FAMILY MEDICINE
Street 1050 N KINGS HIGHWAY SUITE 105
City CHERRY HILL
State NJ
ZIP 08034
Phone 856 321-0303
CertificateType 4
CertificateEffectiveDate 3/11/2024
CertificateExpirationDate 3/10/2026
FacilityType Waiver

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This page was last updated on: 4/23/2024