31D1105569 CLIA NUMBER - ADVOCARE MANSFIELD PEDIATRIC & ADOLESCENT MEDICINE

Laboratory Demographics

  • CLIA Code: 31D1105569
  • Facility Name: ADVOCARE MANSFIELD PEDIATRIC & ADOLESCENT MEDICINE
  • Facility Address: 3242 ROUTE 206 MANSFIELD SQUARE VILLAGE - BLDG A - SUITE 1
    BORDENTOWN, NJ
    ZIP 08505
  • Facility Phone: 609 654-9112
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CATHERINE ROSCIOLI-JONES
  • NPI Number: 1659383602
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 31D1105569
LAB Type Physician Office
Facility Name ADVOCARE MANSFIELD PEDIATRIC & ADOLESCENT MEDICINE
Street 3242 ROUTE 206 MANSFIELD SQUARE VILLAGE - BLDG A - SUITE 1
City BORDENTOWN
State NJ
ZIP 08505
Phone 609 654-9112
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/25/2025
Certificate Expiration Date 9/24/2027
Facility Type Physician Office
Lab Director CATHERINE ROSCIOLI-JONES

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