31D2120354 CLIA NUMBER - ATLANTIC COUNTY VASCULAR INSTITUTE

Laboratory Demographics

  • CLIA Code: 31D2120354
  • Facility Name: ATLANTIC COUNTY VASCULAR INSTITUTE
  • Facility Address: 4622 BLACK HORSE PIKE SUITE 102
    MAYS LANDING, NJ
    ZIP 08330
  • Facility Phone: 609 363-9300
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANDREA C. LOPEZ
  • NPI Number: 1356681183
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 31D2120354
LAB Type Physician Office
Facility Name ATLANTIC COUNTY VASCULAR INSTITUTE
Street 4622 BLACK HORSE PIKE SUITE 102
City MAYS LANDING
State NJ
ZIP 08330
Phone 609 363-9300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/14/2024
Certificate Expiration Date 10/13/2026
Facility Type Physician Office
Lab Director ANDREA C. LOPEZ

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This page was last updated on: 6/4/2025