31D0993610 CLIA NUMBER - UROLOGY FOR CHILDREN LLC

Laboratory Demographics

  • CLIA Code: 31D0993610
  • Facility Name: UROLOGY FOR CHILDREN LLC
  • Facility Address: 200 BOWMAN DR SUITE E 360
    VOORHEES, NJ
    ZIP 08043
  • Facility Phone: 856 751-7880
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL G. PACKER
  • NPI Number: 1619167459
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 31D0993610
LAB Type Physician Office
Facility Name UROLOGY FOR CHILDREN LLC
Street 200 BOWMAN DR SUITE E 360
City VOORHEES
State NJ
ZIP 08043
Phone 856 751-7880
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/25/2025
Certificate Expiration Date 5/24/2027
Facility Type Physician Office
Lab Director MICHAEL G. PACKER

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