31D0720862 CLIA NUMBER - ADVOCARE MILESTONE PEDIATRICS

Laboratory Demographics

  • CLIA Code: 31D0720862
  • Facility Name: ADVOCARE MILESTONE PEDIATRICS
  • Facility Address: 63 N LAKEVIEW DRIVE SUITE 202
    GIBBSBORO, NJ
    ZIP 08026
  • Facility Phone: 856 435-6000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: INDIRA AMATO
  • NPI Number: 1265729552
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 31D0720862
LAB Type Physician Office
Facility Name ADVOCARE MILESTONE PEDIATRICS
Street 63 N LAKEVIEW DRIVE SUITE 202
City GIBBSBORO
State NJ
ZIP 08026
Phone 856 435-6000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/21/2024
Certificate Expiration Date 8/20/2026
Facility Type Physician Office
Lab Director INDIRA AMATO

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