31D0961768 CLIA NUMBER - FOUNDATION PEDIATRICS

Laboratory Demographics

  • CLIA Code: 31D0961768
  • Facility Name: FOUNDATION PEDIATRICS
  • Facility Address: 190 SOUTH HARRISON STREET
    EAST ORANGE, NJ
    ZIP 07018
  • Facility Phone: 973 674-8373
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RONKE Y. DOSUNMU MD
  • NPI Number: 1356387286
  • Taxonomy: 208000000X - Pediatrics

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 31D0961768
LAB Type Physician Office
Facility Name FOUNDATION PEDIATRICS
Street 190 SOUTH HARRISON STREET
City EAST ORANGE
State NJ
ZIP 07018
Phone 973 674-8373
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/16/2025
Certificate Expiration Date 6/15/2027
Facility Type Physician Office
Lab Director RONKE Y. DOSUNMU MD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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