31D0901070 CLIA NUMBER - MID-ATLANTIC STONE CENTER

Laboratory Demographics

  • CLIA Code: 31D0901070
  • Facility Name: MID-ATLANTIC STONE CENTER
  • Facility Address: 100 BRICK RD SUITE 103
    MARLTON, NJ
    ZIP 08053
  • Facility Phone: 856 983-7337
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: PHILIP J. DORSEY
  • NPI Number: 1245285634
  • Taxonomy: 261QL0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 31D0901070
LAB Type Other
Facility Name MID-ATLANTIC STONE CENTER
Street 100 BRICK RD SUITE 103
City MARLTON
State NJ
ZIP 08053
Phone 856 983-7337
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/15/2025
Certificate Expiration Date 5/14/2027
Facility Type Other
Lab Director PHILIP J. DORSEY

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