31D0118770 CLIA NUMBER - ADVOCARE THE FARM PEDIATRICS

Laboratory Demographics

  • CLIA Code: 31D0118770
  • Facility Name: ADVOCARE THE FARM PEDIATRICS
  • Facility Address: 975 TUCKERTON RD, SUITE 100
    MARLTON, NJ
    ZIP 08053
  • Facility Phone: 609 983-6190
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: DAVID E. CHASEN
  • NPI Number: 1104483825
  • Taxonomy: 174400000X - Specialist

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 31D0118770
LAB Type Practitioner Other
Facility Name ADVOCARE THE FARM PEDIATRICS
Street 975 TUCKERTON RD, SUITE 100
City MARLTON
State NJ
ZIP 08053
Phone 609 983-6190
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/12/2024
Certificate Expiration Date 4/11/2026
Facility Type Practitioner Other
Lab Director DAVID E. CHASEN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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