31D2161126 CLIA NUMBER - DANIEL MANSKE MD

Laboratory Demographics

  • CLIA Code: 31D2161126
  • Facility Name: DANIEL MANSKE MD
  • Facility Address: 154 W COMMERCE STREET
    BRIDGETON, NJ
    ZIP 08302
  • Facility Phone: 856 459-3500
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DANIEL MANSKE
  • NPI Number: 1356389860
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D2161126
LAB Type Physician Office
Facility Name DANIEL MANSKE MD
Street 154 W COMMERCE STREET
City BRIDGETON
State NJ
ZIP 08302
Phone 856 459-3500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/28/2025
Certificate Expiration Date 1/27/2027
Facility Type Physician Office
Lab Director DANIEL MANSKE

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