31D2305588 CLIA NUMBER - LARCHMONT IMAGING ASSOCIATES, LLC

Laboratory Demographics

  • CLIA Code: 31D2305588
  • Facility Name: LARCHMONT IMAGING ASSOCIATES, LLC
  • Facility Address: 210 ARK ROAD
    MOUNT LAUREL, NJ
    ZIP 08054
  • Facility Phone: 856 242-1793
  • Facility Type: Other - RADIOLOGY-NUC MED/PET CT
  • Facility Type: Waiver
  • Lab Director: WILLIAM MORGAN
  • NPI Number: 1215319991
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2305588
LAB Type Other - RADIOLOGY-NUC MED/PET CT
Facility Name LARCHMONT IMAGING ASSOCIATES, LLC
Street 210 ARK ROAD
City MOUNT LAUREL
State NJ
ZIP 08054
Phone 856 242-1793
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/4/2024
Certificate Expiration Date 6/3/2026
Facility Type Other - RADIOLOGY-NUC MED/PET CT
Lab Director WILLIAM MORGAN

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