31D1047903 CLIA NUMBER - ADVOCARE BIRCHWOOD PEDIATRICS

Laboratory Demographics

  • CLIA Code: 31D1047903
  • Facility Name: ADVOCARE BIRCHWOOD PEDIATRICS
  • Facility Address: 133 JACKSON ROAD SUITE A
    MEDFORD, NJ
    ZIP 08055
  • Facility Phone: 609 654-9961
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JENNIFER CARITE
  • NPI Number: 1033742051
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 31D1047903
LAB Type Physician Office
Facility Name ADVOCARE BIRCHWOOD PEDIATRICS
Street 133 JACKSON ROAD SUITE A
City MEDFORD
State NJ
ZIP 08055
Phone 609 654-9961
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/16/2023
Certificate Expiration Date 11/15/2025
Facility Type Physician Office
Lab Director JENNIFER CARITE

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