31D2185215 CLIA NUMBER - JEFFERSON HEALTH WOODBURY PRIMARY & SPECIALTY CARE

Laboratory Demographics

  • CLIA Code: 31D2185215
  • Facility Name: JEFFERSON HEALTH WOODBURY PRIMARY & SPECIALTY CARE
  • Facility Address: 159 S BROAD STREET
    WOODBURY, NJ
    ZIP 08096
  • Facility Phone: 844 542-2273
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSE CAMACHO
  • NPI Number: 1891587036
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D2185215
LAB Type Physician Office
Facility Name JEFFERSON HEALTH WOODBURY PRIMARY & SPECIALTY CARE
Street 159 S BROAD STREET
City WOODBURY
State NJ
ZIP 08096
Phone 844 542-2273
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/1/2024
Certificate Expiration Date 5/31/2026
Facility Type Physician Office
Lab Director JOSE CAMACHO

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