31D1015957 CLIA NUMBER - BLOOMRIDGE PEDIATRICS PRIMARY CARE PARTNERS AFFILIATE

Laboratory Demographics

  • CLIA Code: 31D1015957
  • Facility Name: BLOOMRIDGE PEDIATRICS PRIMARY CARE PARTNERS AFFILIATE
  • Facility Address: 1310 BROAD STREET UNIT B
    BLOOMFIELD, NJ
    ZIP 07003
  • Facility Phone: 973 748-9500
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LORI A. COLYER-AVERSA MD
  • NPI Number: 1235522194
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 31D1015957
LAB Type Physician Office
Facility Name BLOOMRIDGE PEDIATRICS PRIMARY CARE PARTNERS AFFILIATE
Street 1310 BROAD STREET UNIT B
City BLOOMFIELD
State NJ
ZIP 07003
Phone 973 748-9500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/18/2025
Certificate Expiration Date 8/17/2027
Facility Type Physician Office
Lab Director LORI A. COLYER-AVERSA MD

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