31D1052576 CLIA NUMBER - MID ATLANTIC RETINA

Laboratory Demographics

  • CLIA Code: 31D1052576
  • Facility Name: MID ATLANTIC RETINA
  • Facility Address: 8 RANOLDO TERRACE
    CHERRY HILL, NJ
    ZIP 08034
  • Facility Phone: 856 667-2246
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CARL D. REGILLO
  • NPI Number: 1366486508
  • Taxonomy: 207L00000X - Anesthesiology

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CLIA Record

Field Name Field Value
CLIA Number 31D1052576
LAB Type Physician Office
Facility Name MID ATLANTIC RETINA
Street 8 RANOLDO TERRACE
City CHERRY HILL
State NJ
ZIP 08034
Phone 856 667-2246
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/29/2024
Certificate Expiration Date 3/28/2026
Facility Type Physician Office
Lab Director CARL D. REGILLO

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