31D0997596 CLIA NUMBER - CRAIG M WAX DO LLC

Laboratory Demographics

  • CLIA Code: 31D0997596
  • Facility Name: CRAIG M WAX DO LLC
  • Facility Address: 155 NORTH MAIN STREET
    MULLICA HILL, NJ
    ZIP 08062
  • Facility Phone: 856 478-4780
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: CRAIG M. WAX DO
  • NPI Number: 1124072285
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 31D0997596
LAB Type Physician Office
Facility Name CRAIG M WAX DO LLC
Street 155 NORTH MAIN STREET
City MULLICA HILL
State NJ
ZIP 08062
Phone 856 478-4780
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 3/21/2024
Certificate Expiration Date 3/20/2026
Facility Type Physician Office
Lab Director CRAIG M. WAX DO

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 3/20/2025