31D0119297 CLIA NUMBER - ADVOCARE LAUREL PEDIATRICS

Laboratory Demographics

  • CLIA Code: 31D0119297
  • Facility Name: ADVOCARE LAUREL PEDIATRICS
  • Facility Address: 269 FISH POND ROAD
    SEWELL, NJ
    ZIP 08080
  • Facility Phone: 856 863-9999
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MARC BACKAL
  • NPI Number: 1063424091
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 31D0119297
LAB Type Physician Office
Facility Name ADVOCARE LAUREL PEDIATRICS
Street 269 FISH POND ROAD
City SEWELL
State NJ
ZIP 08080
Phone 856 863-9999
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director DR. MARC BACKAL

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This page was last updated on: 6/4/2025