31D2000866 CLIA NUMBER - SOUTH JERSEY RADIOLOGY ASSOCIATES (SJRA)

Laboratory Demographics

CLIA Number: 31D2000866

Facility Name: SOUTH JERSEY RADIOLOGY ASSOCIATES (SJRA)

Facility Address:
901 BLACKHORSE PIKE, ROUTE 168 SUITE 301-305
TURNERSVILLE, NJ
ZIP 08012
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Facility Phone Number: 856 374-4769

Facility Type: Other - RADIOLOGY

Certificate Type: Waiver

NPI Number: 1124531405

Taxonomy: 246RP1900X - Technician, Pathology

CLIA Record

Field Name Field Value
CLIA Number 31D2000866
LAB Type Other - RADIOLOGY
Facility Name SOUTH JERSEY RADIOLOGY ASSOCIATES (SJRA)
Street 901 BLACKHORSE PIKE, ROUTE 168 SUITE 301-305
City TURNERSVILLE
State NJ
ZIP 08012
Phone 856 374-4769
CertificateType 4
CertificateEffectiveDate 12/8/2023
CertificateExpirationDate 12/7/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024