31D0686725 CLIA NUMBER - GLOUCESTER COUNTY DEPT OF HEALTH AND SENIOR SVCS DIVISION OF HEALTH OFFICES AT EAST HOLLY

Laboratory Demographics

  • CLIA Code: 31D0686725
  • Facility Name: GLOUCESTER COUNTY DEPT OF HEALTH AND SENIOR SVCS DIVISION OF HEALTH OFFICES AT EAST HOLLY
  • Facility Address: 204 E HOLLY AVE
    SEWELL, NJ
    ZIP 08080
  • Facility Phone: 856 218-4101
  • Facility Type: Mobile Laboratory
  • Facility Type: Microscopy
  • Lab Director: JOSETTE V. PALMER
  • NPI Number: 1447590526
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 31D0686725
LAB Type Mobile Laboratory
Facility Name GLOUCESTER COUNTY DEPT OF HEALTH AND SENIOR SVCS DIVISION OF HEALTH OFFICES AT EAST HOLLY
Street 204 E HOLLY AVE
City SEWELL
State NJ
ZIP 08080
Phone 856 218-4101
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 6/11/2024
Certificate Expiration Date 6/10/2026
Facility Type Mobile Laboratory
Lab Director JOSETTE V. PALMER

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