31D1013639 CLIA NUMBER - WATTS PLASTIC SURGERY ASSOCIATION

Laboratory Demographics

  • CLIA Code: 31D1013639
  • Facility Name: WATTS PLASTIC SURGERY ASSOCIATION
  • Facility Address: 1051 WEST SHERMAN AVENUE BLDG 2 STE A
    VINELAND, NJ
    ZIP 08360
  • Facility Phone: 856 691-0200
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DAVID C. WATTS MD
  • NPI Number: 1396700944
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 31D1013639
LAB Type Ambulatory Surgery Center
Facility Name WATTS PLASTIC SURGERY ASSOCIATION
Street 1051 WEST SHERMAN AVENUE BLDG 2 STE A
City VINELAND
State NJ
ZIP 08360
Phone 856 691-0200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/13/2025
Certificate Expiration Date 6/12/2027
Facility Type Ambulatory Surgery Center
Lab Director DAVID C. WATTS MD

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