31D1100279 CLIA NUMBER - ADVOCARE BELLEVUE PEDIATRICS

Laboratory Demographics

  • CLIA Code: 31D1100279
  • Facility Name: ADVOCARE BELLEVUE PEDIATRICS
  • Facility Address: 1230 PARKWAY AVENUE SUITE 303
    EWING, NJ
    ZIP 08628
  • Facility Phone: 609 989-9801
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. PUTHENMADAM RADHAKRISHNAN
  • NPI Number: 1083629869
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 31D1100279
LAB Type Physician Office
Facility Name ADVOCARE BELLEVUE PEDIATRICS
Street 1230 PARKWAY AVENUE SUITE 303
City EWING
State NJ
ZIP 08628
Phone 609 989-9801
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/3/2025
Certificate Expiration Date 6/2/2027
Facility Type Physician Office
Lab Director DR. PUTHENMADAM RADHAKRISHNAN

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