31D1047269 CLIA NUMBER - PEDIATRIC CARE PHYSICIANS LLC

Laboratory Demographics

  • CLIA Code: 31D1047269
  • Facility Name: PEDIATRIC CARE PHYSICIANS LLC
  • Facility Address: 2119 ROUTE 88 EAST
    BRICK, NJ
    ZIP 08724
  • Facility Phone: 732 899-0008
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARIA R. COLLADO
  • NPI Number: 1790814127
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 31D1047269
LAB Type Physician Office
Facility Name PEDIATRIC CARE PHYSICIANS LLC
Street 2119 ROUTE 88 EAST
City BRICK
State NJ
ZIP 08724
Phone 732 899-0008
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/31/2023
Certificate Expiration Date 10/30/2025
Facility Type Physician Office
Lab Director MARIA R. COLLADO

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