31D0114900 CLIA NUMBER - MIDDLETOWN PEDIATRICS PA

Laboratory Demographics

  • CLIA Code: 31D0114900
  • Facility Name: MIDDLETOWN PEDIATRICS PA
  • Facility Address: 529 HIGHWAY 35
    RED BANK, NJ
    ZIP 07701
  • Facility Phone: 732 741-9800
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL MARKOFF
  • NPI Number: 1275757916
  • Taxonomy: 2080A0000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 31D0114900
LAB Type Physician Office
Facility Name MIDDLETOWN PEDIATRICS PA
Street 529 HIGHWAY 35
City RED BANK
State NJ
ZIP 07701
Phone 732 741-9800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/15/2023
Certificate Expiration Date 11/14/2025
Facility Type Physician Office
Lab Director MICHAEL MARKOFF

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This page was last updated on: 6/4/2025