31D0121026 CLIA NUMBER - VINELAND PEDIATRICS PA

Laboratory Demographics

  • CLIA Code: 31D0121026
  • Facility Name: VINELAND PEDIATRICS PA
  • Facility Address: 1138 E CHESTNUT AVE, SUITE # 5B
    VINELAND, NJ
    ZIP 08360
  • Facility Phone: 856 692-1108
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: OLABODE OGIDAN
  • NPI Number: 1104937259
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 31D0121026
LAB Type Physician Office
Facility Name VINELAND PEDIATRICS PA
Street 1138 E CHESTNUT AVE, SUITE # 5B
City VINELAND
State NJ
ZIP 08360
Phone 856 692-1108
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/7/2024
Certificate Expiration Date 8/6/2026
Facility Type Physician Office
Lab Director OLABODE OGIDAN

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