31D0119457 CLIA NUMBER - CLAUDINE M DE DAN, MD FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 31D0119457
  • Facility Name: CLAUDINE M DE DAN, MD FAMILY MEDICINE
  • Facility Address: 34 COLSON LANE, SUITE B
    MULLICA HILL, NJ
    ZIP 08062
  • Facility Phone: 856 628-8120
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CLAUDINE M. DE DAN
  • NPI Number: 1124058367
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D0119457
LAB Type Physician Office
Facility Name CLAUDINE M DE DAN, MD FAMILY MEDICINE
Street 34 COLSON LANE, SUITE B
City MULLICA HILL
State NJ
ZIP 08062
Phone 856 628-8120
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 CLAUDINE M. DE DAN

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