31D1073248 CLIA NUMBER - ADVOCARE KRESSVILLE PEDIATRICS

Laboratory Demographics

  • CLIA Code: 31D1073248
  • Facility Name: ADVOCARE KRESSVILLE PEDIATRICS
  • Facility Address: 431 SICKLERVILLE ROAD
    SICKLERVILLE, NJ
    ZIP 08081
  • Facility Phone: 856 875-7444
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CYRUS MOHAZZEBI
  • NPI Number: 1235382656
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D1073248
LAB Type Physician Office
Facility Name ADVOCARE KRESSVILLE PEDIATRICS
Street 431 SICKLERVILLE ROAD
City SICKLERVILLE
State NJ
ZIP 08081
Phone 856 875-7444
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/5/2025
Certificate Expiration Date 9/4/2027
Facility Type Physician Office
Lab Director CYRUS MOHAZZEBI

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