31D2019123 CLIA NUMBER - JEFFERSON HEALTH MARLTON PRIMARY & SPECIALTY CARE

Laboratory Demographics

  • CLIA Code: 31D2019123
  • Facility Name: JEFFERSON HEALTH MARLTON PRIMARY & SPECIALTY CARE
  • Facility Address: 73 NORTH MAPLE AVENUE, SUITE B
    MARLTON, NJ
    ZIP 08053
  • Facility Phone: 856 596-0558
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KRISTIE MCNALLY
  • NPI Number: 1083985857
  • Taxonomy: 2084N0400X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 31D2019123
LAB Type Physician Office
Facility Name JEFFERSON HEALTH MARLTON PRIMARY & SPECIALTY CARE
Street 73 NORTH MAPLE AVENUE, SUITE B
City MARLTON
State NJ
ZIP 08053
Phone 856 596-0558
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/24/2025
Certificate Expiration Date 1/23/2027
Facility Type Physician Office
Lab Director KRISTIE MCNALLY

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