31D1084282 CLIA NUMBER - WHOLE CHILD CENTER

Laboratory Demographics

  • CLIA Code: 31D1084282
  • Facility Name: WHOLE CHILD CENTER
  • Facility Address: 690 KINDERKAMACK ROAD SUITE 102
    ORADELL, NJ
    ZIP 07649
  • Facility Phone: 201 634-1600
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LAWRENCE D. ROSEN
  • NPI Number: 1639332885
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 31D1084282
LAB Type Physician Office
Facility Name WHOLE CHILD CENTER
Street 690 KINDERKAMACK ROAD SUITE 102
City ORADELL
State NJ
ZIP 07649
Phone 201 634-1600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/20/2024
Certificate Expiration Date 5/19/2026
Facility Type Physician Office
Lab Director LAWRENCE D. ROSEN

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