31D1072020 CLIA NUMBER - VIRTUA - THE CARDIOLOGY GROUP

Laboratory Demographics

  • CLIA Code: 31D1072020
  • Facility Name: VIRTUA - THE CARDIOLOGY GROUP
  • Facility Address: 128 STATE HIGHWAY 70, SUITE 1 B
    MEDFORD, NJ
    ZIP 08055
  • Facility Phone: 609 654-8171
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: VINCENT SPAGNUOLO
  • NPI Number: 1144770975
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 31D1072020
LAB Type Physician Office
Facility Name VIRTUA - THE CARDIOLOGY GROUP
Street 128 STATE HIGHWAY 70, SUITE 1 B
City MEDFORD
State NJ
ZIP 08055
Phone 609 654-8171
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/7/2025
Certificate Expiration Date 8/6/2027
Facility Type Physician Office
Lab Director VINCENT SPAGNUOLO

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