31D0119718 CLIA NUMBER - ADVOCARE WOODBURY PEDIATRICS

Laboratory Demographics

  • CLIA Code: 31D0119718
  • Facility Name: ADVOCARE WOODBURY PEDIATRICS
  • Facility Address: 1050 MANTUA PIKE
    WENONAH, NJ
    ZIP 08090
  • Facility Phone: 856 853-0848
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: LAWRENCE EPPLE JR MD
  • NPI Number: 1336432244
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 31D0119718
LAB Type Practitioner Other
Facility Name ADVOCARE WOODBURY PEDIATRICS
Street 1050 MANTUA PIKE
City WENONAH
State NJ
ZIP 08090
Phone 856 853-0848
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/7/2025
Certificate Expiration Date 2/6/2027
Facility Type Practitioner Other
Lab Director LAWRENCE EPPLE JR MD

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