31D0124866 CLIA NUMBER - VIJAYA RADHAKRISHNA MD

Laboratory Demographics

  • CLIA Code: 31D0124866
  • Facility Name: VIJAYA RADHAKRISHNA MD
  • Facility Address: 155 STELTON ROAD
    PISCATAWAY, NJ
    ZIP 08854
  • Facility Phone: 908 752-8442
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: VIJAYA RADHAKRISHNA
  • NPI Number: 1144430935
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 31D0124866
LAB Type Physician Office
Facility Name VIJAYA RADHAKRISHNA MD
Street 155 STELTON ROAD
City PISCATAWAY
State NJ
ZIP 08854
Phone 908 752-8442
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/4/2025
Certificate Expiration Date 5/3/2027
Facility Type Physician Office
Lab Director VIJAYA RADHAKRISHNA

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