31D2141961 CLIA NUMBER - CHERRY HILL ASC, LLC

Laboratory Demographics

  • CLIA Code: 31D2141961
  • Facility Name: CHERRY HILL ASC, LLC
  • Facility Address: 180 ROUTE 70
    MEDFORD, NJ
    ZIP 08055
  • Facility Phone: 609 601-4923
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: RAVI K. PONNAPPAN
  • NPI Number: 1932657145
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 31D2141961
LAB Type Ambulatory Surgery Center
Facility Name CHERRY HILL ASC, LLC
Street 180 ROUTE 70
City MEDFORD
State NJ
ZIP 08055
Phone 609 601-4923
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/26/2025
Certificate Expiration Date 2/25/2027
Facility Type Ambulatory Surgery Center
Lab Director RAVI K. PONNAPPAN

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