31D2306321 CLIA NUMBER - CONSTELLATION HOSPICE

Laboratory Demographics

  • CLIA Code: 31D2306321
  • Facility Name: CONSTELLATION HOSPICE
  • Facility Address: 2 EXECUTIVE DRIVE STE 105
    MARLTON, NJ
    ZIP 08053
  • Facility Phone: 848 326-2659
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: MICHAEL E. BUXBAUM
  • NPI Number: 1619473808
  • Taxonomy: 103K00000X - Behavior Analyst

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CLIA Record

Field Name Field Value
CLIA Number 31D2306321
LAB Type Hospice
Facility Name CONSTELLATION HOSPICE
Street 2 EXECUTIVE DRIVE STE 105
City MARLTON
State NJ
ZIP 08053
Phone 848 326-2659
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/14/2024
Certificate Expiration Date 6/13/2026
Facility Type Hospice
Lab Director MICHAEL E. BUXBAUM

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