31D1009321 CLIA NUMBER - VENTNOR PEDIATRICS CENTER

Laboratory Demographics

  • CLIA Code: 31D1009321
  • Facility Name: VENTNOR PEDIATRICS CENTER
  • Facility Address: 6611 WINCHESTER AVENUE
    VENTNOR CITY, NJ
    ZIP 08406
  • Facility Phone: 609 487-6507
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: EMIOLA O. ASEMOTA MD
  • NPI Number: 1689961401
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 31D1009321
LAB Type Physician Office
Facility Name VENTNOR PEDIATRICS CENTER
Street 6611 WINCHESTER AVENUE
City VENTNOR CITY
State NJ
ZIP 08406
Phone 609 487-6507
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/11/2025
Certificate Expiration Date 2/10/2027
Facility Type Physician Office
Lab Director EMIOLA O. ASEMOTA MD

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