31D1090880 CLIA NUMBER - PASSAIC PEDIATRICS

Laboratory Demographics

  • CLIA Code: 31D1090880
  • Facility Name: PASSAIC PEDIATRICS
  • Facility Address: 298 PASSAIC STREET
    PASSAIC, NJ
    ZIP 07055
  • Facility Phone: (973) 249-8100
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANTONIO CAMILO MD
  • NPI Number: 1326383076
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 31D1090880
LAB Type Physician Office
Facility Name PASSAIC PEDIATRICS
Street 298 PASSAIC STREET
City PASSAIC
State NJ
ZIP 07055
Phone 9732498100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/21/2024
Certificate Expiration Date 10/20/2026
Facility Type Physician Office
Lab Director ANTONIO CAMILO MD

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This page was last updated on: 5/15/2026