31D2239423 CLIA NUMBER - CHARLES WAHL DMD AND ASSOCIATES

Laboratory Demographics

  • CLIA Code: 31D2239423
  • Facility Name: CHARLES WAHL DMD AND ASSOCIATES
  • Facility Address: 108 WEST COLLINGS AVENUE
    COLLINGSWOOD, NJ
    ZIP 08108
  • Facility Phone: 856 858-0294
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHARLES N. WAHL
  • NPI Number: 1457491128
  • Taxonomy: 122300000X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 31D2239423
LAB Type Physician Office
Facility Name CHARLES WAHL DMD AND ASSOCIATES
Street 108 WEST COLLINGS AVENUE
City COLLINGSWOOD
State NJ
ZIP 08108
Phone 856 858-0294
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/12/2025
Certificate Expiration Date 10/11/2027
Facility Type Physician Office
Lab Director CHARLES N. WAHL

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