31D1063463 CLIA NUMBER - WEISMAN CHILDREN'S MEDICAL DAY CARE CENTER AT PENNSAUKEN

Laboratory Demographics

  • CLIA Code: 31D1063463
  • Facility Name: WEISMAN CHILDREN'S MEDICAL DAY CARE CENTER AT PENNSAUKEN
  • Facility Address: 2475 MCCLELLAN AVENUE, SUITE B203
    PENNSAUKEN, NJ
    ZIP 08109
  • Facility Phone: 856 675-1450
  • Facility Type: Other - MEDICAL DAY CARE
  • Facility Type: Waiver
  • Lab Director: SHANNON SHERRY
  • NPI Number: 1750542585
  • Taxonomy: 261QM3000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 31D1063463
LAB Type Other - MEDICAL DAY CARE
Facility Name WEISMAN CHILDREN'S MEDICAL DAY CARE CENTER AT PENNSAUKEN
Street 2475 MCCLELLAN AVENUE, SUITE B203
City PENNSAUKEN
State NJ
ZIP 08109
Phone 856 675-1450
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/16/2025
Certificate Expiration Date 1/15/2027
Facility Type Other - MEDICAL DAY CARE
Lab Director SHANNON SHERRY

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