31D2250651 CLIA NUMBER - CINNAMINSON PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 31D2250651
  • Facility Name: CINNAMINSON PRIMARY CARE
  • Facility Address: 2800 US 130 N ST 102
    CINNAMINSON, NJ
    ZIP 08077
  • Facility Phone: 856 303-8500
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KALPESHKUMAR PATEL
  • NPI Number: 1154567204
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D2250651
LAB Type Physician Office
Facility Name CINNAMINSON PRIMARY CARE
Street 2800 US 130 N ST 102
City CINNAMINSON
State NJ
ZIP 08077
Phone 856 303-8500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/28/2024
Certificate Expiration Date 1/27/2026
Facility Type Physician Office
Lab Director KALPESHKUMAR PATEL

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