31D2317687 CLIA NUMBER - TRICARE AT INSPIRA DBA TRICARE MEDICAL TRANSPORTATION

Laboratory Demographics

  • CLIA Code: 31D2317687
  • Facility Name: TRICARE AT INSPIRA DBA TRICARE MEDICAL TRANSPORTATION
  • Facility Address: 825 NOAHS RD
    PLEASANTVILLE, NJ
    ZIP 08232
  • Facility Phone: 609 646-1002
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: JOSEPH W. PHILLIPS
  • NPI Number: 1134959604
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 31D2317687
LAB Type Ambulance
Facility Name TRICARE AT INSPIRA DBA TRICARE MEDICAL TRANSPORTATION
Street 825 NOAHS RD
City PLEASANTVILLE
State NJ
ZIP 08232
Phone 609 646-1002
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/29/2025
Certificate Expiration Date 1/28/2027
Facility Type Ambulance
Lab Director JOSEPH W. PHILLIPS

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