31D2118749 CLIA NUMBER - NEMOURS CHILDREN'S HOSPITAL SURGERY CENTER, DEPTFORD

Laboratory Demographics

  • CLIA Code: 31D2118749
  • Facility Name: NEMOURS CHILDREN'S HOSPITAL SURGERY CENTER, DEPTFORD
  • Facility Address: 1280 ALMONESSON RD 2ND FLOOR
    DEPTFORD, NJ
    ZIP 08096
  • Facility Phone: 856 345-1058
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: JOHN BENARDI
  • NPI Number: 1760412886
  • Taxonomy: 363A00000X - Physician Assistant

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CLIA Record

Field Name Field Value
CLIA Number 31D2118749
LAB Type Ambulatory Surgery Center
Facility Name NEMOURS CHILDREN'S HOSPITAL SURGERY CENTER, DEPTFORD
Street 1280 ALMONESSON RD 2ND FLOOR
City DEPTFORD
State NJ
ZIP 08096
Phone 856 345-1058
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/14/2024
Certificate Expiration Date 9/13/2026
Facility Type Ambulatory Surgery Center
Lab Director JOHN BENARDI

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