31D0124018 CLIA NUMBER - SOMERSET PEDIATRIC GROUP

Laboratory Demographics

CLIA Number: 31D0124018

Facility Name: SOMERSET PEDIATRIC GROUP

Facility Address:
D-1 BRIER HILL CT
EAST BRUNSWICK, NJ
ZIP 08816
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Facility Phone Number: 732 238-3310

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1780630251

Taxonomy: 261QS0132X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	31D0124018
LAB Type	Physician Office
Facility Name	SOMERSET PEDIATRIC GROUP
Street	D-1 BRIER HILL CT
City	EAST BRUNSWICK
State	NJ
ZIP	08816
Phone	732 238-3310
CertificateType	4
CertificateEffectiveDate	6/15/2023
CertificateExpirationDate	6/14/2025
FacilityType	Waiver

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