31D0718473 CLIA NUMBER - PRIME CARE PEDIATRICS PC

Laboratory Demographics

  • CLIA Code: 31D0718473
  • Facility Name: PRIME CARE PEDIATRICS PC
  • Facility Address: 42 LOCUST AVENUE
    WALLINGTON, NJ
    ZIP 07057
  • Facility Phone: 973 473-4033
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STANISLAW SLIWOWSKI MD
  • NPI Number: 1619074820
  • Taxonomy: 2080A0000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 31D0718473
LAB Type Physician Office
Facility Name PRIME CARE PEDIATRICS PC
Street 42 LOCUST AVENUE
City WALLINGTON
State NJ
ZIP 07057
Phone 973 473-4033
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/10/2025
Certificate Expiration Date 8/9/2027
Facility Type Physician Office
Lab Director STANISLAW SLIWOWSKI MD

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