31D0978742 CLIA NUMBER - INSPIRA MEDICAL GROUP UPPER DEERFIELD

Laboratory Demographics

  • CLIA Code: 31D0978742
  • Facility Name: INSPIRA MEDICAL GROUP UPPER DEERFIELD
  • Facility Address: 70 CORNWELL DRIVE
    BRIDGETON, NJ
    ZIP 08302
  • Facility Phone: 856 455-6770
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SCOTT WAGNER
  • NPI Number: 1902807480
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D0978742
LAB Type Physician Office
Facility Name INSPIRA MEDICAL GROUP UPPER DEERFIELD
Street 70 CORNWELL DRIVE
City BRIDGETON
State NJ
ZIP 08302
Phone 856 455-6770
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/2/2024
Certificate Expiration Date 10/1/2026
Facility Type Physician Office
Lab Director SCOTT WAGNER

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