31D0955681 CLIA NUMBER - NORMAN INDICH PEDIATRICS

Laboratory Demographics

  • CLIA Code: 31D0955681
  • Facility Name: NORMAN INDICH PEDIATRICS
  • Facility Address: 603 WEST COUNTY LINE ROAD
    LAKEWOOD, NJ
    ZIP 08701
  • Facility Phone: 732 730-9111
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: NORMAN INDICH
  • NPI Number: 1427005602
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 31D0955681
LAB Type Physician Office
Facility Name NORMAN INDICH PEDIATRICS
Street 603 WEST COUNTY LINE ROAD
City LAKEWOOD
State NJ
ZIP 08701
Phone 732 730-9111
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 4/28/2023
Certificate Expiration Date 4/27/2025
Facility Type Physician Office
Lab Director NORMAN INDICH

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