31D0121024 CLIA NUMBER - PEDIATRIC ASSOCIATICS

Laboratory Demographics

  • CLIA Code: 31D0121024
  • Facility Name: PEDIATRIC ASSOCIATICS
  • Facility Address: 1318 SOUTH MAIN ROAD
    VINELAND, NJ
    ZIP 08360
  • Facility Phone: 609 691-8585
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL A. ROSENBERG
  • NPI Number: 1790868503
  • Taxonomy: 208000000X - Pediatrics

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 31D0121024
LAB Type Physician Office
Facility Name PEDIATRIC ASSOCIATICS
Street 1318 SOUTH MAIN ROAD
City VINELAND
State NJ
ZIP 08360
Phone 609 691-8585
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/15/2024
Certificate Expiration Date 11/14/2026
Facility Type Physician Office
Lab Director MICHAEL A. ROSENBERG

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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