31D2295004 CLIA NUMBER - PRIMARY CARE VOORHEES - 805 COOPER ROAD

Laboratory Demographics

  • CLIA Code: 31D2295004
  • Facility Name: PRIMARY CARE VOORHEES - 805 COOPER ROAD
  • Facility Address: 805 COOPER ROAD
    VOORHEES, NJ
    ZIP 08043
  • Facility Phone: 856 795-4330
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TOBY SOBLE
  • NPI Number: 1548545163
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D2295004
LAB Type Physician Office
Facility Name PRIMARY CARE VOORHEES - 805 COOPER ROAD
Street 805 COOPER ROAD
City VOORHEES
State NJ
ZIP 08043
Phone 856 795-4330
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/4/2023
Certificate Expiration Date 12/3/2025
Facility Type Physician Office
Lab Director TOBY SOBLE

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