31D0911945 CLIA NUMBER - COOPER FAMILY MEDICINE

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Laboratory Demographics

CLIA Number: 31D0911945

Facility Name: COOPER FAMILY MEDICINE

Facility Address:
1865 HARRISON AVENUE BLDG C SUITE 1300
CAMDEN, NJ
ZIP 08105
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Facility Phone Number: 856 963-0126

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1033312939

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	31D0911945
LAB Type	Physician Office
Facility Name	COOPER FAMILY MEDICINE
Street	1865 HARRISON AVENUE BLDG C SUITE 1300
City	CAMDEN
State	NJ
ZIP	08105
Phone	856 963-0126
CertificateType	3
CertificateEffectiveDate	2/20/2024
CertificateExpirationDate	2/19/2026
FacilityType	PPMP

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