31D1085649 CLIA NUMBER - DEVITO INTERNAL MEDICINE AND PEDIATRICS

Laboratory Demographics

  • CLIA Code: 31D1085649
  • Facility Name: DEVITO INTERNAL MEDICINE AND PEDIATRICS
  • Facility Address: 180 WHITE ROAD SUITE 201
    LITTLE SILVER, NJ
    ZIP 07739
  • Facility Phone: 732 741-3770
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARC J. DEVITO
  • NPI Number: 1326208216
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D1085649
LAB Type Physician Office
Facility Name DEVITO INTERNAL MEDICINE AND PEDIATRICS
Street 180 WHITE ROAD SUITE 201
City LITTLE SILVER
State NJ
ZIP 07739
Phone 732 741-3770
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/24/2024
Certificate Expiration Date 6/23/2026
Facility Type Physician Office
Lab Director MARC J. DEVITO

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