31D0956963 CLIA NUMBER - COOPER PHYSICIAN OFFICE

Laboratory Demographics

  • CLIA Code: 31D0956963
  • Facility Name: COOPER PHYSICIAN OFFICE
  • Facility Address: BUNKER HILL PLAZA 1 PLAZA DR STE 103
    SEWELL, NJ
    ZIP 08080
  • Facility Phone: 856 270-4080
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROCCO F. CAVENG JR
  • NPI Number: 1184847873
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D0956963
LAB Type Physician Office
Facility Name COOPER PHYSICIAN OFFICE
Street BUNKER HILL PLAZA 1 PLAZA DR STE 103
City SEWELL
State NJ
ZIP 08080
Phone 856 270-4080
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/9/2025
Certificate Expiration Date 2/8/2027
Facility Type Physician Office
Lab Director ROCCO F. CAVENG JR

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