CLIA lab

CLIA 31D1063038: Cooper Family Medicine (Camden Cty College)

Blackwood, NJ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 31D1063038 belongs to Cooper Family Medicine (Camden Cty College) in Blackwood, NJ.

Certificate of Waiver, effective January 4, 2025, expires January 3, 2027.

Active in the CMS Provider of Services file posted October 16, 2026.

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

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Certificate

Certificate type
Certificate of Waiver
Certificate effective
January 4, 2025
Certificate expiration
January 3, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
January 4, 2007
Facility type
Physician office
Ownership (control type)
Private
Lab classification
CLIA laboratory

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
31D1063038
Lab name
Cooper Family Medicine (Camden Cty College)
Address
200 College Drive, Polk Hall, Blackwood, NJ 08012
Phone
(856) 536-1630
Fax
(856) 356-1635

Annual test volume the lab reported

Waived tests
500

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

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Related

Questions

What is the CLIA number for Cooper Family Medicine (Camden Cty College) in Blackwood?

31D1063038, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Cooper Family Medicine (Camden Cty College) hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 31D1063038 expire?

The CMS file lists January 3, 2027 as the certificate expiration date; the certificate took effect January 4, 2025.

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