31D0109811 CLIA NUMBER - ADVOCARE NORTH JERSEY PEDIATRICS

Laboratory Demographics

  • CLIA Code: 31D0109811
  • Facility Name: ADVOCARE NORTH JERSEY PEDIATRICS
  • Facility Address: 17-10 FAIRLAWN AVENUE
    FAIR LAWN, NJ
    ZIP 07410
  • Facility Phone: 201 794-8585
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RONA RIEGELHAUPT MD
  • NPI Number: 1174062681
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 31D0109811
LAB Type Physician Office
Facility Name ADVOCARE NORTH JERSEY PEDIATRICS
Street 17-10 FAIRLAWN AVENUE
City FAIR LAWN
State NJ
ZIP 07410
Phone 201 794-8585
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/26/2024
Certificate Expiration Date 2/25/2026
Facility Type Physician Office
Lab Director RONA RIEGELHAUPT MD

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This page was last updated on: 9/29/2025