31D0692508 CLIA NUMBER - WILLIAMSTOWN PEDIATRIC PRACTICE PA

Laboratory Demographics

  • CLIA Code: 31D0692508
  • Facility Name: WILLIAMSTOWN PEDIATRIC PRACTICE PA
  • Facility Address: 925 A S BLACKHORSE PIKE
    WILLIAMSTOWN, NJ
    ZIP 08094
  • Facility Phone: (856) 629-9000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RAJESWARI KANTHAN
  • NPI Number: 1184671380
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 31D0692508
LAB Type Physician Office
Facility Name WILLIAMSTOWN PEDIATRIC PRACTICE PA
Street 925 A S BLACKHORSE PIKE
City WILLIAMSTOWN
State NJ
ZIP 08094
Phone 8566299000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director RAJESWARI KANTHAN

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This page was last updated on: 5/15/2026