31D2083109 CLIA NUMBER - JEFFSTAT 1

Laboratory Demographics

  • CLIA Code: 31D2083109
  • Facility Name: JEFFSTAT 1
  • Facility Address: 400 MEDICAL CENTER DRIVE SUITE A
    SEWELL, NJ
    ZIP 08080
  • Facility Phone: 215 955-2700
  • Facility Type: Other - HELICOPTER 24HRS /DAY
  • Facility Type: Waiver
  • Lab Director: RAYMOND BIRKMIRE
  • NPI Number: 1700814878
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 31D2083109
LAB Type Other - HELICOPTER 24HRS /DAY
Facility Name JEFFSTAT 1
Street 400 MEDICAL CENTER DRIVE SUITE A
City SEWELL
State NJ
ZIP 08080
Phone 215 955-2700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/28/2024
Certificate Expiration Date 8/27/2026
Facility Type Other - HELICOPTER 24HRS /DAY
Lab Director RAYMOND BIRKMIRE

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