31D2296055 CLIA NUMBER - VIRTUA NUTRITION & DIABETES - VOORHEES

Laboratory Demographics

  • CLIA Code: 31D2296055
  • Facility Name: VIRTUA NUTRITION & DIABETES - VOORHEES
  • Facility Address: 200 BOWMAN DRIVE SUITE E 385D
    VOORHEES, NJ
    ZIP 08043
  • Facility Phone: 856 325-4270
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JEAN DAVIDSON
  • NPI Number: 1578161535
  • Taxonomy: 261QB0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 31D2296055
LAB Type Physician Office
Facility Name VIRTUA NUTRITION & DIABETES - VOORHEES
Street 200 BOWMAN DRIVE SUITE E 385D
City VOORHEES
State NJ
ZIP 08043
Phone 856 325-4270
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/20/2023
Certificate Expiration Date 12/19/2025
Facility Type Physician Office
Lab Director JEAN DAVIDSON

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This page was last updated on: 6/4/2025