31D1028404 CLIA NUMBER - ADVOCARE TOWNSHIP PEDIATRICS TOWER COMMONS OFFICE CAMPUS

Laboratory Demographics

  • CLIA Code: 31D1028404
  • Facility Name: ADVOCARE TOWNSHIP PEDIATRICS TOWER COMMONS OFFICE CAMPUS
  • Facility Address: 123 EGG HARBOR ROAD SUITE 206
    SEWELL, NJ
    ZIP 08080
  • Facility Phone: 856 227-5437
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JEFFREY D. BLACKMAN MD
  • NPI Number: 1699787457
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 31D1028404
LAB Type Physician Office
Facility Name ADVOCARE TOWNSHIP PEDIATRICS TOWER COMMONS OFFICE CAMPUS
Street 123 EGG HARBOR ROAD SUITE 206
City SEWELL
State NJ
ZIP 08080
Phone 856 227-5437
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/23/2024
Certificate Expiration Date 7/22/2026
Facility Type Physician Office
Lab Director JEFFREY D. BLACKMAN MD

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