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

Laboratory Demographics

  • CLIA Code: 31D2000866
  • Facility Name: SOUTH JERSEY RADIOLOGY ASSOCIATES (SJRA)
  • Facility Address: 901 BLACKHORSE PIKE, ROUTE 168 SUITE 301-305
    TURNERSVILLE, NJ
    ZIP 08012
  • Facility Phone: 856 374-4769
  • Facility Type: Other - RADIOLOGY
  • Facility Type: Waiver
  • Lab Director: GREGORY GOODWORTH
  • NPI Number: 1124531405
  • Taxonomy: 246RP1900X - Technician, Pathology

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/8/2023
Certificate Expiration Date 12/7/2025
Facility Type Other - RADIOLOGY
Lab Director GREGORY GOODWORTH

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