31D1056670 CLIA NUMBER - ADVOCARE RAINBOW PEDIATRICS

Laboratory Demographics

  • CLIA Code: 31D1056670
  • Facility Name: ADVOCARE RAINBOW PEDIATRICS
  • Facility Address: 2500 ENGLISH CREEK AVENUE SUITE 901
    EGG HARBOR TOWNSHIP, NJ
    ZIP 08234
  • Facility Phone: 609 624-9003
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JAMES PETRUCCI
  • NPI Number: 1316600166
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 31D1056670
LAB Type Physician Office
Facility Name ADVOCARE RAINBOW PEDIATRICS
Street 2500 ENGLISH CREEK AVENUE SUITE 901
City EGG HARBOR TOWNSHIP
State NJ
ZIP 08234
Phone 609 624-9003
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/18/2024
Certificate Expiration Date 2/17/2026
Facility Type Physician Office
Lab Director JAMES PETRUCCI

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