31D0115879 CLIA NUMBER - SKYLANDS PEDIATRICS-PRIMARY CARE PARTNERS

Laboratory Demographics

  • CLIA Code: 31D0115879
  • Facility Name: SKYLANDS PEDIATRICS-PRIMARY CARE PARTNERS
  • Facility Address: 328 A SPARTA AVENUE
    SPARTA, NJ
    ZIP 07871
  • Facility Phone: 973 729-2197
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ALEXIS CAPOZZOLI
  • NPI Number: 1669885711
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 31D0115879
LAB Type Physician Office
Facility Name SKYLANDS PEDIATRICS-PRIMARY CARE PARTNERS
Street 328 A SPARTA AVENUE
City SPARTA
State NJ
ZIP 07871
Phone 973 729-2197
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/16/2024
Certificate Expiration Date 3/15/2026
Facility Type Physician Office
Lab Director ALEXIS CAPOZZOLI

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