31D0961331 CLIA NUMBER - COLTS NECK PEDIATRICS INC

Laboratory Demographics

  • CLIA Code: 31D0961331
  • Facility Name: COLTS NECK PEDIATRICS INC
  • Facility Address: 410 STATE ROUTE 34 SUITE 212
    COLTS NECK, NJ
    ZIP 07722
  • Facility Phone: 732 683-0099
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOCELYN B. BAUTISTA
  • NPI Number: 1801840533
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 31D0961331
LAB Type Physician Office
Facility Name COLTS NECK PEDIATRICS INC
Street 410 STATE ROUTE 34 SUITE 212
City COLTS NECK
State NJ
ZIP 07722
Phone 732 683-0099
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/2/2025
Certificate Expiration Date 6/1/2027
Facility Type Physician Office
Lab Director JOCELYN B. BAUTISTA

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