31D0119922 CLIA NUMBER - ADVOCARE SOUTH JERSEY PEDIATRICS

Laboratory Demographics

  • CLIA Code: 31D0119922
  • Facility Name: ADVOCARE SOUTH JERSEY PEDIATRICS
  • Facility Address: 204 WHITE HORSE PIKE
    WEST COLLINGSWOOD, NJ
    ZIP 08107
  • Facility Phone: 856 424-6050
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHN B. TEDESCHI MD
  • NPI Number: 1700898566
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 31D0119922
LAB Type Physician Office
Facility Name ADVOCARE SOUTH JERSEY PEDIATRICS
Street 204 WHITE HORSE PIKE
City WEST COLLINGSWOOD
State NJ
ZIP 08107
Phone 856 424-6050
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/7/2024
Certificate Expiration Date 6/6/2026
Facility Type Physician Office
Lab Director JOHN B. TEDESCHI MD

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