31D0118381 CLIA NUMBER - YASSIN PEDIATRICS

Laboratory Demographics

  • CLIA Code: 31D0118381
  • Facility Name: YASSIN PEDIATRICS
  • Facility Address: 115 LACEY RD
    FORKED RIVER, NJ
    ZIP 08731
  • Facility Phone: 609 971-0010
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MAHMOUD M. YASSIN MD
  • NPI Number: 1205935509
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 31D0118381
LAB Type Physician Office
Facility Name YASSIN PEDIATRICS
Street 115 LACEY RD
City FORKED RIVER
State NJ
ZIP 08731
Phone 609 971-0010
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/12/2025
Certificate Expiration Date 10/11/2027
Facility Type Physician Office
Lab Director MAHMOUD M. YASSIN MD

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