31D2320474 CLIA NUMBER - EASTERN NEURODIANOSTIC ASSOCIATES

Laboratory Demographics

  • CLIA Code: 31D2320474
  • Facility Name: EASTERN NEURODIANOSTIC ASSOCIATES
  • Facility Address: 2301 E. EVESHAM RD. PAVILLION 800 SUITE 209
    VOORHEES, NJ
    ZIP 08043
  • Facility Phone: 855 527-7246
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: WILLIAM R. WOLFE
  • NPI Number: 1023177102
  • Taxonomy: 2084N0400X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 31D2320474
LAB Type Physician Office
Facility Name EASTERN NEURODIANOSTIC ASSOCIATES
Street 2301 E. EVESHAM RD. PAVILLION 800 SUITE 209
City VOORHEES
State NJ
ZIP 08043
Phone 855 527-7246
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/18/2025
Certificate Expiration Date 3/17/2027
Facility Type Physician Office
Lab Director WILLIAM R. WOLFE

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