31D1010836 CLIA NUMBER - COLONIA PEDIATRICS LLC

Laboratory Demographics

  • CLIA Code: 31D1010836
  • Facility Name: COLONIA PEDIATRICS LLC
  • Facility Address: 517 RAHWAY AVENUE
    ELIZABETH, NJ
    ZIP 07202
  • Facility Phone: 908 527-1247
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GAURANG PATEL
  • NPI Number: 1164258117
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 31D1010836
LAB Type Physician Office
Facility Name COLONIA PEDIATRICS LLC
Street 517 RAHWAY AVENUE
City ELIZABETH
State NJ
ZIP 07202
Phone 908 527-1247
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/25/2025
Certificate Expiration Date 3/24/2027
Facility Type Physician Office
Lab Director GAURANG PATEL

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