31D0969829 CLIA NUMBER - ADVOCARE TOTAL CARE PEDIATRICS

Laboratory Demographics

CLIA Number: 31D0969829

Facility Name: ADVOCARE TOTAL CARE PEDIATRICS

Facility Address:
550 NEWARK AVENUE, SUITE 409
JERSEY CITY, NJ
ZIP 07306
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Facility Phone Number: 201 714-7902

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1629597034

Taxonomy: 208000000X - Pediatrics
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

CLIA Record

Field Name	Field Value
CLIA Number	31D0969829
LAB Type	Physician Office
Facility Name	ADVOCARE TOTAL CARE PEDIATRICS
Street	550 NEWARK AVENUE, SUITE 409
City	JERSEY CITY
State	NJ
ZIP	07306
Phone	201 714-7902
CertificateType	4
CertificateEffectiveDate	1/27/2024
CertificateExpirationDate	1/26/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024