31D0118416 CLIA NUMBER - PEDIATRIC AFFILIATES, PA

Laboratory Demographics

  • CLIA Code: 31D0118416
  • Facility Name: PEDIATRIC AFFILIATES, PA
  • Facility Address: 1616 ROUTE 72 WEST
    MANAHAWKIN, NJ
    ZIP 08050
  • Facility Phone: 609 597-6200
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: IRA L. HAIMOWITZ
  • NPI Number: 1760802326
  • Taxonomy: 251S00000X - Community/Behavioral Health

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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
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 8/28/2024
Certificate Expiration Date 8/27/2026
Facility Type Physician Office
Lab Director IRA L. HAIMOWITZ

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