31D2133291 CLIA NUMBER - HARRY J LANDRUM, JR OD

Laboratory Demographics

  • CLIA Code: 31D2133291
  • Facility Name: HARRY J LANDRUM, JR OD
  • Facility Address: 10 BAKER BOULEVARD
    MULLICA HILL, NJ
    ZIP 08062
  • Facility Phone: 856 223-9100
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HARRY J. LANDRUM
  • NPI Number: 1285718387
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 31D2133291
LAB Type Physician Office
Facility Name HARRY J LANDRUM, JR OD
Street 10 BAKER BOULEVARD
City MULLICA HILL
State NJ
ZIP 08062
Phone 856 223-9100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/10/2025
Certificate Expiration Date 7/9/2027
Facility Type Physician Office
Lab Director HARRY J. LANDRUM

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