31D0120850 CLIA NUMBER - ELMER FAMILY PRACTICE, PC

Laboratory Demographics

  • CLIA Code: 31D0120850
  • Facility Name: ELMER FAMILY PRACTICE, PC
  • Facility Address: 475 ROUTE 40
    ELMER, NJ
    ZIP 08318
  • Facility Phone: 856 358-0770
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: GERARD VENTRELLA MD
  • NPI Number: 1275571184
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D0120850
LAB Type Physician Office
Facility Name ELMER FAMILY PRACTICE, PC
Street 475 ROUTE 40
City ELMER
State NJ
ZIP 08318
Phone 856 358-0770
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 3/22/2024
Certificate Expiration Date 3/21/2026
Facility Type Physician Office
Lab Director GERARD VENTRELLA MD

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