31D0975014 CLIA NUMBER - JON S HEIST DO PA

Laboratory Demographics

  • CLIA Code: 31D0975014
  • Facility Name: JON S HEIST DO PA
  • Facility Address: 361 N MAIN STREET
    GLASSBORO, NJ
    ZIP 08028
  • Facility Phone: 856 881-8618
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JON S. HEIST
  • NPI Number: 1760501373
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D0975014
LAB Type Physician Office
Facility Name JON S HEIST DO PA
Street 361 N MAIN STREET
City GLASSBORO
State NJ
ZIP 08028
Phone 856 881-8618
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/23/2024
Certificate Expiration Date 6/22/2026
Facility Type Physician Office
Lab Director JON S. HEIST

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