31D0123548 CLIA NUMBER - PEDIATRIC AFFILIATES, PA

Laboratory Demographics

  • CLIA Code: 31D0123548
  • Facility Name: PEDIATRIC AFFILIATES, PA
  • Facility Address: 40 BEY LEA ROAD BLDG B SUITE 203
    TOMS RIVER, NJ
    ZIP 08753
  • Facility Phone: (732) 341-0720
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: ROBERT A. SHANIK
  • NPI Number: 1104660133
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 31D0123548
LAB Type Physician Office
Facility Name PEDIATRIC AFFILIATES, PA
Street 40 BEY LEA ROAD BLDG B SUITE 203
City TOMS RIVER
State NJ
ZIP 08753
Phone 7323410720
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 8/26/2024
Certificate Expiration Date 8/25/2026
Facility Type Physician Office
Lab Director ROBERT A. SHANIK

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This page was last updated on: 5/18/2026