31D2184947 CLIA NUMBER - ADVOCARE CEDAR BROOK FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 31D2184947
  • Facility Name: ADVOCARE CEDAR BROOK FAMILY PRACTICE
  • Facility Address: 187 SOUTH RT 73, SUITE B
    HAMMONTON, NJ
    ZIP 08037
  • Facility Phone: 609 567-2101
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. SEAN GOUDSWARD
  • NPI Number: 1295256394
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D2184947
LAB Type Physician Office
Facility Name ADVOCARE CEDAR BROOK FAMILY PRACTICE
Street 187 SOUTH RT 73, SUITE B
City HAMMONTON
State NJ
ZIP 08037
Phone 609 567-2101
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/28/2024
Certificate Expiration Date 5/27/2026
Facility Type Physician Office
Lab Director DR. SEAN GOUDSWARD

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