31D0888000 CLIA NUMBER - CHOP PRIMARY CARE MOORESTOWN

Laboratory Demographics

  • CLIA Code: 31D0888000
  • Facility Name: CHOP PRIMARY CARE MOORESTOWN
  • Facility Address: 200 MARTER AVE SUITE 100
    MOORESTOWN, NJ
    ZIP 08057
  • Facility Phone: 856 235-2147
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BARBARA BERNSTEIN
  • NPI Number: 1891870432
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 31D0888000
LAB Type Physician Office
Facility Name CHOP PRIMARY CARE MOORESTOWN
Street 200 MARTER AVE SUITE 100
City MOORESTOWN
State NJ
ZIP 08057
Phone 856 235-2147
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/21/2025
Certificate Expiration Date 1/20/2027
Facility Type Physician Office
Lab Director BARBARA BERNSTEIN

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