31D1016628 CLIA NUMBER - NEPHROLOGY & HYPERTENSION ASSOC OF NJ ATTN LISA PARKER

Laboratory Demographics

CLIA Number: 31D1016628

Facility Name: NEPHROLOGY & HYPERTENSION ASSOC OF NJ ATTN LISA PARKER

Facility Address:
201 LAUREL OAK ROAD SUITE B
VOORHEES, NJ
ZIP 08043
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Facility Phone Number: 856 853-7245

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1871549808

Taxonomy: 207RN0300X - Internal Medicine
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

CLIA Record

Field Name	Field Value
CLIA Number	31D1016628
LAB Type	Physician Office
Facility Name	NEPHROLOGY & HYPERTENSION ASSOC OF NJ ATTN LISA PARKER
Street	201 LAUREL OAK ROAD SUITE B
City	VOORHEES
State	NJ
ZIP	08043
Phone	856 853-7245
CertificateType	4
CertificateEffectiveDate	9/3/2023
CertificateExpirationDate	9/2/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024