31D0989427 CLIA NUMBER - PARAMUS PEDIATRICS, PA

Laboratory Demographics

CLIA Number: 31D0989427

Facility Name: PARAMUS PEDIATRICS, PA

Facility Address:
22 MADISON AVENUE SUITE 101
PARAMUS, NJ
ZIP 07652
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Facility Phone Number: 201 712-1599

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1316184112

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	31D0989427
LAB Type	Physician Office
Facility Name	PARAMUS PEDIATRICS, PA
Street	22 MADISON AVENUE SUITE 101
City	PARAMUS
State	NJ
ZIP	07652
Phone	201 712-1599
CertificateType	4
CertificateEffectiveDate	7/26/2023
CertificateExpirationDate	7/25/2025
FacilityType	Waiver

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