31D2253756 CLIA NUMBER - IMPACTFUL CARE

Laboratory Demographics

  • CLIA Code: 31D2253756
  • Facility Name: IMPACTFUL CARE
  • Facility Address: 923 HADDONFIELD ROAD
    CHERRY HILL, NJ
    ZIP 08002
  • Facility Phone: 856 581-3209
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RUPPERT A. HAWES
  • NPI Number: 1063141927
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 31D2253756
LAB Type Physician Office
Facility Name IMPACTFUL CARE
Street 923 HADDONFIELD ROAD
City CHERRY HILL
State NJ
ZIP 08002
Phone 856 581-3209
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/24/2024
Certificate Expiration Date 2/23/2026
Facility Type Physician Office
Lab Director RUPPERT A. HAWES

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This page was last updated on: 6/4/2025