31D0123742 CLIA NUMBER - BOUND BROOK PEDIATRICS LLC

Laboratory Demographics

CLIA Number: 31D0123742

Facility Name: BOUND BROOK PEDIATRICS LLC

Facility Address:
27 W UNION AVE
BOUND BROOK, NJ
ZIP 08805
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Facility Phone Number: 732 356-3737

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1821343328

Taxonomy: 3416L0300X - Ambulance

CLIA Record

Field Name	Field Value
CLIA Number	31D0123742
LAB Type	Physician Office
Facility Name	BOUND BROOK PEDIATRICS LLC
Street	27 W UNION AVE
City	BOUND BROOK
State	NJ
ZIP	08805
Phone	732 356-3737
CertificateType	4
CertificateEffectiveDate	1/6/2023
CertificateExpirationDate	1/5/2025
FacilityType	Waiver

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