31D0892774 CLIA NUMBER - COOPER INST FOR REPROD HORMONAL DISORD

Laboratory Demographics

CLIA Number: 31D0892774

Facility Name: COOPER INST FOR REPROD HORMONAL DISORD

Facility Address:
17000 COMMERCE PARKWAY SUITE C
MOUNT LAUREL, NJ
ZIP 08054
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Facility Phone Number: 856 751-5575

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1265474761

Taxonomy: 207VE0102X - Obstetrics & Gynecology
An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility.

CLIA Record

Field Name Field Value
CLIA Number 31D0892774
LAB Type Physician Office
Facility Name COOPER INST FOR REPROD HORMONAL DISORD
Street 17000 COMMERCE PARKWAY SUITE C
City MOUNT LAUREL
State NJ
ZIP 08054
Phone 856 751-5575
CertificateType 2
CertificateEffectiveDate 12/29/2022
CertificateExpirationDate 12/28/2024
FacilityType Compliance

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This page was last updated on: 4/23/2024