31D0901275 CLIA NUMBER - ADVOCARE LLC, WEST DEPTFORD PEDIATRICS

Laboratory Demographics

  • CLIA Code: 31D0901275
  • Facility Name: ADVOCARE LLC, WEST DEPTFORD PEDIATRICS
  • Facility Address: 646 KINGS HIGHWAY
    WEST DEPTFORD, NJ
    ZIP 08096
  • Facility Phone: 856 879-2887
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CAROLYN CLEAR
  • NPI Number: 1750394474
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 31D0901275
LAB Type Physician Office
Facility Name ADVOCARE LLC, WEST DEPTFORD PEDIATRICS
Street 646 KINGS HIGHWAY
City WEST DEPTFORD
State NJ
ZIP 08096
Phone 856 879-2887
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 CAROLYN CLEAR

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