31D0967767 CLIA NUMBER - PASCALE BASTIEN MD PC

Laboratory Demographics

  • CLIA Code: 31D0967767
  • Facility Name: PASCALE BASTIEN MD PC
  • Facility Address: 8008 ROUTE 130 NORTH SUITE 204
    DELRAN, NJ
    ZIP 08075
  • Facility Phone: 856 824-0099
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: PASCALE BASTIEN MD
  • NPI Number: 1598792566
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 31D0967767
LAB Type Physician Office
Facility Name PASCALE BASTIEN MD PC
Street 8008 ROUTE 130 NORTH SUITE 204
City DELRAN
State NJ
ZIP 08075
Phone 856 824-0099
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 11/23/2023
Certificate Expiration Date 11/22/2025
Facility Type Physician Office
Lab Director PASCALE BASTIEN MD

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