31D0934977 CLIA NUMBER - PEDIATRIC AFFILIATES, PA

Laboratory Demographics

  • CLIA Code: 31D0934977
  • Facility Name: PEDIATRIC AFFILIATES, PA
  • Facility Address: 1301 RT 70
    BRICK, NJ
    ZIP 08724
  • Facility Phone: 732 892-8700
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: ROBERT SHANIK
  • NPI Number: 1457377079
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 31D0934977
LAB Type Physician Office
Facility Name PEDIATRIC AFFILIATES, PA
Street 1301 RT 70
City BRICK
State NJ
ZIP 08724
Phone 732 892-8700
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 9/12/2024
Certificate Expiration Date 9/11/2026
Facility Type Physician Office
Lab Director ROBERT SHANIK

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