31D0111810 CLIA NUMBER - PEDIATRICARE ASSOCIATES

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CLIA Record

Field Name Field Value
CLIA Number 31D0111810
LAB Type Physician Office
Facility Name PEDIATRICARE ASSOCIATES
Street 90 PROSPECT AVE
City HACKENSACK
State NJ
ZIP 07601
Phone 201 342-4001
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/26/2023
Certificate Expiration Date 10/25/2025
Facility Type Physician Office
Lab Director JEFFREY BIENSTOCK

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