31D2168412 CLIA NUMBER - JEFFERSON HEALTH DIRECT PRIMARY CARE

Laboratory Demographics

CLIA Number: 31D2168412

Facility Name: JEFFERSON HEALTH DIRECT PRIMARY CARE

Facility Address:
308 N HADDON AVE
HADDONFIELD, NJ
ZIP 08033
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Facility Phone Number: 609 238-0595

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1740848530

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	31D2168412
LAB Type	Physician Office
Facility Name	JEFFERSON HEALTH DIRECT PRIMARY CARE
Street	308 N HADDON AVE
City	HADDONFIELD
State	NJ
ZIP	08033
Phone	609 238-0595
CertificateType	4
CertificateEffectiveDate	6/28/2023
CertificateExpirationDate	6/27/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024