31D2149433 CLIA NUMBER - SOUTH JERSEY EYE PHYSICIANS, PA

Laboratory Demographics

  • CLIA Code: 31D2149433
  • Facility Name: SOUTH JERSEY EYE PHYSICIANS, PA
  • Facility Address: 509 S LENOLA ROAD, SUITE 11A
    MOORESTOWN, NJ
    ZIP 08057
  • Facility Phone: 856 231-5907
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MIRIAM R. BROWN
  • NPI Number: 1386256352
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 31D2149433
LAB Type Physician Office
Facility Name SOUTH JERSEY EYE PHYSICIANS, PA
Street 509 S LENOLA ROAD, SUITE 11A
City MOORESTOWN
State NJ
ZIP 08057
Phone 856 231-5907
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/5/2024
Certificate Expiration Date 6/4/2026
Facility Type Physician Office
Lab Director MIRIAM R. BROWN

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