31D2097504 CLIA NUMBER - WELCARE PEDIATRICS LLC

Laboratory Demographics

  • CLIA Code: 31D2097504
  • Facility Name: WELCARE PEDIATRICS LLC
  • Facility Address: 1132 COOPER STREET
    DEPTFORD, NJ
    ZIP 08096
  • Facility Phone: 856 848-8060
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: IMRAN A. MIRZA
  • NPI Number: 1538569454
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 31D2097504
LAB Type Physician Office
Facility Name WELCARE PEDIATRICS LLC
Street 1132 COOPER STREET
City DEPTFORD
State NJ
ZIP 08096
Phone 856 848-8060
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/1/2024
Certificate Expiration Date 1/31/2026
Facility Type Physician Office
Lab Director IMRAN A. MIRZA

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