31D2176396 CLIA NUMBER - NOVA DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 31D2176396
  • Facility Name: NOVA DERMATOLOGY
  • Facility Address: 455 ROUTE 70 WEST
    CHERRY HILL, NJ
    ZIP 08002
  • Facility Phone: 856 520-8331
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GIUSEPPE MILITELLO
  • NPI Number: 1538626049
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 31D2176396
LAB Type Physician Office
Facility Name NOVA DERMATOLOGY
Street 455 ROUTE 70 WEST
City CHERRY HILL
State NJ
ZIP 08002
Phone 856 520-8331
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/13/2023
Certificate Expiration Date 12/12/2025
Facility Type Physician Office
Lab Director GIUSEPPE MILITELLO

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