31D1028004 CLIA NUMBER - EARLY INTERVENTION PROGRAM

Laboratory Demographics

  • CLIA Code: 31D1028004
  • Facility Name: EARLY INTERVENTION PROGRAM
  • Facility Address: 3 COOPER PLAZA SUITE 513
    CAMDEN, NJ
    ZIP 08103
  • Facility Phone: 856 963-3715
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: ERNEST S. EGU
  • NPI Number: 1285021600
  • Taxonomy: 282N00000X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 31D1028004
LAB Type Physician Office
Facility Name EARLY INTERVENTION PROGRAM
Street 3 COOPER PLAZA SUITE 513
City CAMDEN
State NJ
ZIP 08103
Phone 856 963-3715
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 8/6/2024
Certificate Expiration Date 8/5/2026
Facility Type Physician Office
Lab Director ERNEST S. EGU

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