31D0118416 CLIA NUMBER - PEDIATRIC AFFILIATES, PA

Laboratory Demographics

CLIA Number: 31D0118416

Facility Name: PEDIATRIC AFFILIATES, PA

Facility Address:
1616 ROUTE 72 WEST
MANAHAWKIN, NJ
ZIP 08050
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Facility Phone Number: 609 597-6200

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1760802326

Taxonomy: 251S00000X - Community/Behavioral Health
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

CLIA Record

Field Name	Field Value
CLIA Number	31D0118416
LAB Type	Physician Office
Facility Name	PEDIATRIC AFFILIATES, PA
Street	1616 ROUTE 72 WEST
City	MANAHAWKIN
State	NJ
ZIP	08050
Phone	609 597-6200
CertificateType	2
CertificateEffectiveDate	8/28/2022
CertificateExpirationDate	8/27/2024
FacilityType	Compliance

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This page was last updated on: 4/23/2024