31D0111466 CLIA NUMBER - DP PEDIATRICS LLC

Laboratory Demographics

  • CLIA Code: 31D0111466
  • Facility Name: DP PEDIATRICS LLC
  • Facility Address: 142 TOTOWA RD #8
    TOTOWA, NJ
    ZIP 07512
  • Facility Phone: 973 904-1000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PRATIBHA S. DESHMUKH
  • NPI Number: 1124057203
  • Taxonomy: 2080A0000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 31D0111466
LAB Type Physician Office
Facility Name DP PEDIATRICS LLC
Street 142 TOTOWA RD #8
City TOTOWA
State NJ
ZIP 07512
Phone 973 904-1000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/6/2025
Certificate Expiration Date 2/5/2027
Facility Type Physician Office
Lab Director PRATIBHA S. DESHMUKH

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