31D1106596 CLIA NUMBER - MAHI PEDIATRICS PC

Laboratory Demographics

  • CLIA Code: 31D1106596
  • Facility Name: MAHI PEDIATRICS PC
  • Facility Address: 41 WILSON AVENUE, SUITE 2D
    NEWARK, NJ
    ZIP 07105
  • Facility Phone: 201 583-1888
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KANIKICHARIA UMA
  • NPI Number: 1487922118
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 31D1106596
LAB Type Physician Office
Facility Name MAHI PEDIATRICS PC
Street 41 WILSON AVENUE, SUITE 2D
City NEWARK
State NJ
ZIP 07105
Phone 201 583-1888
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/25/2023
Certificate Expiration Date 11/24/2025
Facility Type Physician Office
Lab Director KANIKICHARIA UMA

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