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31D0962313 CLIA NUMBER - ADVOCARE GLOUCESTER COUNTY PEDIATRICS

Laboratory Demographics

CLIA Number: 31D0962313

Facility Name: ADVOCARE GLOUCESTER COUNTY PEDIATRICS

Facility Address:
849 COOPER STREET
DEPTFORD, NJ
ZIP 08096
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Facility Phone Number: 856 848-6346

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1366746570

Taxonomy: 208000000X - Pediatrics
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

CLIA Record

Field Name Field Value
CLIA Number 31D0962313
LAB Type Physician Office
Facility Name ADVOCARE GLOUCESTER COUNTY PEDIATRICS
Street 849 COOPER STREET
City DEPTFORD
State NJ
ZIP 08096
Phone 856 848-6346
CertificateType 4
CertificateEffectiveDate 6/30/2023
CertificateExpirationDate 6/29/2025
FacilityType Waiver

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