31D0119718 CLIA NUMBER - ADVOCARE WOODBURY PEDIATRICS

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Laboratory Demographics

CLIA Number: 31D0119718

Facility Name: ADVOCARE WOODBURY PEDIATRICS

Facility Address:
1050 MANTUA PIKE
WENONAH, NJ
ZIP 08090
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Facility Phone Number: 856 853-0848

Facility Type: Practitioner Other

Certificate Type: Waiver

NPI Number: 1336432244

Taxonomy: 208000000X - Pediatrics
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

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
CertificateType	4
CertificateEffectiveDate	2/7/2023
CertificateExpirationDate	2/6/2025
FacilityType	Waiver

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