31D0698050 CLIA NUMBER - COLLINGSWOOD FAMILY MEDICAL PRACTICE

Laboratory Demographics

  • CLIA Code: 31D0698050
  • Facility Name: COLLINGSWOOD FAMILY MEDICAL PRACTICE
  • Facility Address: 600 SOUTH ATLANTIC AVE
    COLLINGSWOOD, NJ
    ZIP 08108
  • Facility Phone: (856) 854-1050
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LANCE W. NEVELING
  • NPI Number: 1083820435
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 31D0698050
LAB Type Physician Office
Facility Name COLLINGSWOOD FAMILY MEDICAL PRACTICE
Street 600 SOUTH ATLANTIC AVE
City COLLINGSWOOD
State NJ
ZIP 08108
Phone 8568541050
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director LANCE W. NEVELING

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This page was last updated on: 5/15/2026