31D1090172 CLIA NUMBER - SETO MEDICAL PROVIDERS

Laboratory Demographics

  • CLIA Code: 31D1090172
  • Facility Name: SETO MEDICAL PROVIDERS
  • Facility Address: 141 S BLACK HORSE PIKE, SUITE 104
    BLACKWOOD, NJ
    ZIP 08012
  • Facility Phone: 856 292-8216
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: JOHN C. DALY, MD
  • NPI Number: 1922299288
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 31D1090172
LAB Type Practitioner Other
Facility Name SETO MEDICAL PROVIDERS
Street 141 S BLACK HORSE PIKE, SUITE 104
City BLACKWOOD
State NJ
ZIP 08012
Phone 856 292-8216
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/6/2024
Certificate Expiration Date 10/5/2026
Facility Type Practitioner Other
Lab Director JOHN C. DALY, MD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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