31D2313149 CLIA NUMBER - OMEGA PHYSICIANS LLC

Laboratory Demographics

  • CLIA Code: 31D2313149
  • Facility Name: OMEGA PHYSICIANS LLC
  • Facility Address: 103 OLD MARLTON PIKE SUITE 124
    MEDFORD, NJ
    ZIP 08055
  • Facility Phone: 888 575-9162
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NAGASASIKANTH MOPURI
  • NPI Number: 1629653563
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D2313149
LAB Type Physician Office
Facility Name OMEGA PHYSICIANS LLC
Street 103 OLD MARLTON PIKE SUITE 124
City MEDFORD
State NJ
ZIP 08055
Phone 888 575-9162
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/25/2024
Certificate Expiration Date 10/24/2026
Facility Type Physician Office
Lab Director NAGASASIKANTH MOPURI

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