31D2214877 CLIA NUMBER - ADVOCARE GARDEN STATE INTERNAL MEDICINE

Laboratory Demographics

  • CLIA Code: 31D2214877
  • Facility Name: ADVOCARE GARDEN STATE INTERNAL MEDICINE
  • Facility Address: 701 E MAIN STREET, SUITE 7
    MOORESTOWN, NJ
    ZIP 08057
  • Facility Phone: 856 772-7088
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KAI YAN
  • NPI Number: 1992313746
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 31D2214877
LAB Type Physician Office
Facility Name ADVOCARE GARDEN STATE INTERNAL MEDICINE
Street 701 E MAIN STREET, SUITE 7
City MOORESTOWN
State NJ
ZIP 08057
Phone 856 772-7088
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/25/2025
Certificate Expiration Date 2/24/2027
Facility Type Physician Office
Lab Director KAI YAN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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