31D0978557 CLIA NUMBER - MOUNT LAUREL PRIMARY CARE PHYSICIANS

Laboratory Demographics

  • CLIA Code: 31D0978557
  • Facility Name: MOUNT LAUREL PRIMARY CARE PHYSICIANS
  • Facility Address: 1000 BIRCHFIELD DRIVE SUITE 1004
    MOUNT LAUREL, NJ
    ZIP 08054
  • Facility Phone: 856 866-1557
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KENNETH B. GOLDSTEIN
  • NPI Number: 1508933516
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D0978557
LAB Type Physician Office
Facility Name MOUNT LAUREL PRIMARY CARE PHYSICIANS
Street 1000 BIRCHFIELD DRIVE SUITE 1004
City MOUNT LAUREL
State NJ
ZIP 08054
Phone 856 866-1557
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/27/2024
Certificate Expiration Date 9/26/2026
Facility Type Physician Office
Lab Director KENNETH B. GOLDSTEIN

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