31D0107627 CLIA NUMBER - WESTFIELD PEDIATRICS

Laboratory Demographics

CLIA Number: 31D0107627

Facility Name: WESTFIELD PEDIATRICS

Facility Address:
532 E BROAD
WESTFIELD, NJ
ZIP 07090
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Facility Phone Number: 908 233-6473

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1447305495

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name	Field Value
CLIA Number	31D0107627
LAB Type	Physician Office
Facility Name	WESTFIELD PEDIATRICS
Street	532 E BROAD
City	WESTFIELD
State	NJ
ZIP	07090
Phone	908 233-6473
CertificateType	4
CertificateEffectiveDate	2/28/2023
CertificateExpirationDate	2/27/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024