31D1007701 CLIA NUMBER - SOUTH JERSEY EYE PHYSICIANS, LLC

Laboratory Demographics

  • CLIA Code: 31D1007701
  • Facility Name: SOUTH JERSEY EYE PHYSICIANS, LLC
  • Facility Address: 509 SOUTH LENOLA ROAD, SUITE 11B ATTN MANDY DANBERRY, MSN, RN
    MOORESTOWN, NJ
    ZIP 08057
  • Facility Phone: 856 234-0258
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: MANDY DANBERRY
  • NPI Number: 1023072824
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 31D1007701
LAB Type Ambulatory Surgery Center
Facility Name SOUTH JERSEY EYE PHYSICIANS, LLC
Street 509 SOUTH LENOLA ROAD, SUITE 11B ATTN MANDY DANBERRY, MSN, RN
City MOORESTOWN
State NJ
ZIP 08057
Phone 856 234-0258
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/27/2024
Certificate Expiration Date 12/26/2026
Facility Type Ambulatory Surgery Center
Lab Director MANDY DANBERRY

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