31D0109588 CLIA NUMBER - ADVOCARE JERSEY HEIGHTS PEDIATRICS

Laboratory Demographics

CLIA Number: 31D0109588

Facility Name: ADVOCARE JERSEY HEIGHTS PEDIATRICS

Facility Address:
3526 KENNEDY BLVD
JERSEY CITY, NJ
ZIP 07307
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Facility Phone Number: 201 653-5933

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1548804602

Taxonomy: 208000000X - Pediatrics
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

CLIA Record

Field Name	Field Value
CLIA Number	31D0109588
LAB Type	Physician Office
Facility Name	ADVOCARE JERSEY HEIGHTS PEDIATRICS
Street	3526 KENNEDY BLVD
City	JERSEY CITY
State	NJ
ZIP	07307
Phone	201 653-5933
CertificateType	4
CertificateEffectiveDate	2/1/2023
CertificateExpirationDate	1/31/2025
FacilityType	Waiver

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