31D0669887 CLIA NUMBER - ALLERGY & PEDIATRIC ASSOC OF JERSEY SHORE

Laboratory Demographics

  • CLIA Code: 31D0669887
  • Facility Name: ALLERGY & PEDIATRIC ASSOC OF JERSEY SHORE
  • Facility Address: 315 WEST MAIN STREET, SUITE A
    FREEHOLD, NJ
    ZIP 07728
  • Facility Phone: 732 431-3373
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MADHAVI KATTURUPALLI
  • NPI Number: 1306802491
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 31D0669887
LAB Type Physician Office
Facility Name ALLERGY & PEDIATRIC ASSOC OF JERSEY SHORE
Street 315 WEST MAIN STREET, SUITE A
City FREEHOLD
State NJ
ZIP 07728
Phone 732 431-3373
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/29/2024
Certificate Expiration Date 8/28/2026
Facility Type Physician Office
Lab Director MADHAVI KATTURUPALLI

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