31D0982320 CLIA NUMBER - MENDHAM PEDIATRIC CARE

Laboratory Demographics

  • CLIA Code: 31D0982320
  • Facility Name: MENDHAM PEDIATRIC CARE
  • Facility Address: 5 COLD HILL ROAD S SUITE 6
    MENDHAM, NJ
    ZIP 07945
  • Facility Phone: 973 543-1996
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DEEPA S. MINHAS
  • NPI Number: 1770796914
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 31D0982320
LAB Type Physician Office
Facility Name MENDHAM PEDIATRIC CARE
Street 5 COLD HILL ROAD S SUITE 6
City MENDHAM
State NJ
ZIP 07945
Phone 973 543-1996
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/9/2025
Certificate Expiration Date 8/8/2027
Facility Type Physician Office
Lab Director DEEPA S. MINHAS

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