31D2307558 CLIA NUMBER - MAPLE SHADE FIRST AID SQUAD

Laboratory Demographics

  • CLIA Code: 31D2307558
  • Facility Name: MAPLE SHADE FIRST AID SQUAD
  • Facility Address: 44 S MAPLE AVE
    MAPLE SHADE, NJ
    ZIP 08052
  • Facility Phone: 856 779-0733
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: ROBERT J. TOBIN
  • NPI Number: 1902035157
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 31D2307558
LAB Type Ambulance
Facility Name MAPLE SHADE FIRST AID SQUAD
Street 44 S MAPLE AVE
City MAPLE SHADE
State NJ
ZIP 08052
Phone 856 779-0733
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/10/2024
Certificate Expiration Date 7/9/2026
Facility Type Ambulance
Lab Director ROBERT J. TOBIN

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