31D2158207 CLIA NUMBER - MEDARBOR LLC DBA MEDARBOR DIAGNOSTICS

Laboratory Demographics

  • CLIA Code: 31D2158207
  • Facility Name: MEDARBOR LLC DBA MEDARBOR DIAGNOSTICS
  • Facility Address: 188 FRIES MILL ROAD, SUITE N3
    TURNERSVILLE, NJ
    ZIP 08012
  • Facility Phone: 610 660-8100
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARCELLINO P. PORTO
  • NPI Number: 1407088156
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2158207
LAB Type Physician Office
Facility Name MEDARBOR LLC DBA MEDARBOR DIAGNOSTICS
Street 188 FRIES MILL ROAD, SUITE N3
City TURNERSVILLE
State NJ
ZIP 08012
Phone 610 660-8100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/23/2024
Certificate Expiration Date 11/22/2026
Facility Type Physician Office
Lab Director MARCELLINO P. PORTO

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