31D0950087 CLIA NUMBER - LAKEVIEW PEDIATRICS

Laboratory Demographics

  • CLIA Code: 31D0950087
  • Facility Name: LAKEVIEW PEDIATRICS
  • Facility Address: 266 LAKEVIEW AVENUE
    CLIFTON, NJ
    ZIP 07011
  • Facility Phone: 973 340-6225
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MALGORZATA M. KORTOWSKA MD
  • NPI Number: 1356553093
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 31D0950087
LAB Type Physician Office
Facility Name LAKEVIEW PEDIATRICS
Street 266 LAKEVIEW AVENUE
City CLIFTON
State NJ
ZIP 07011
Phone 973 340-6225
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/18/2024
Certificate Expiration Date 8/17/2026
Facility Type Physician Office
Lab Director MALGORZATA M. KORTOWSKA MD

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This page was last updated on: 3/20/2025