Objectives: The purpose of this study was to investigate the effect of BIO-CLOD on advanced wastewater treatment for enhanced removal efficiency and meeting the stringent discharge water requirements of wastewater treatment plants. Methods: Two experimental apparatuses consisting of anaerobic, anoxic and aeration tanks were operated. One included a BIO-CLOD cultivation tank. Organic and nutrient parameters and removal efficiency were analyzed by pH, BOD, CODcr, SS, T-N and T-P. Results: The average removal efficiencies of BOD, COD and SS from the apparatus with BIO-CLOD tank installation were 95.5%, 88.6% and 92.9%, respectively, and these were higher than the results from the apparatus without BIO-CLOD. The average TP removal efficiency with BIO-CLOD tank marked 56.0%, higher than the 47.3% from the apparatus without one. BIO-CLOD showed a higher performance for TN removal at 49.6%, compared to the result without BIO-CLOD of 34.3% Conclusion: By reaction with BIO-CLOD, ammonia removal was effective in the aeration tank, as was phosphorus release in the anaerobic tank. Phosphorus luxury uptake and nitrification in aeration tank proceeded smoothly. The application of BIO-CLOD can improve the decrease of odor and settleability of activated sludge in a wastewater treatment plant, as well as increase the removal efficiency of organic and nutrient materials in water.