31D2290145 CLIA NUMBER - MED-DOC OFFICE PC

Laboratory Demographics

  • CLIA Code: 31D2290145
  • Facility Name: MED-DOC OFFICE PC
  • Facility Address: 602 BROADWAY
    CAMDEN, NJ
    ZIP 08103
  • Facility Phone: (609) 922-5260
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROWSONARA AKHTER
  • NPI Number: 1851021372
  • Taxonomy: 2084P0800X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 31D2290145
LAB Type Physician Office
Facility Name MED-DOC OFFICE PC
Street 602 BROADWAY
City CAMDEN
State NJ
ZIP 08103
Phone 6099225260
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/21/2025
Certificate Expiration Date 9/20/2027
Facility Type Physician Office
Lab Director ROWSONARA AKHTER

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This page was last updated on: 5/18/2026