31D1013627 CLIA NUMBER - RANDOLPH PEDIATRICS

Laboratory Demographics

  • CLIA Code: 31D1013627
  • Facility Name: RANDOLPH PEDIATRICS
  • Facility Address: 711 ROUTE 10 EAST
    RANDOLPH, NJ
    ZIP 07869
  • Facility Phone: 973 328-9200
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARISA CIUFALO
  • NPI Number: 1649311960
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 31D1013627
LAB Type Physician Office
Facility Name RANDOLPH PEDIATRICS
Street 711 ROUTE 10 EAST
City RANDOLPH
State NJ
ZIP 07869
Phone 973 328-9200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/3/2024
Certificate Expiration Date 2/2/2026
Facility Type Physician Office
Lab Director MARISA CIUFALO

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