31D2000372 CLIA NUMBER - MY WHOLE CHILD PEDIATRICS - OLD BRIDGE

Laboratory Demographics

  • CLIA Code: 31D2000372
  • Facility Name: MY WHOLE CHILD PEDIATRICS - OLD BRIDGE
  • Facility Address: 3099 ROUTE 516
    OLD BRIDGE, NJ
    ZIP 08857
  • Facility Phone: 732 619-8200
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. NAVEEN MEHROTRA
  • NPI Number: 1720022999
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 31D2000372
LAB Type Physician Office
Facility Name MY WHOLE CHILD PEDIATRICS - OLD BRIDGE
Street 3099 ROUTE 516
City OLD BRIDGE
State NJ
ZIP 08857
Phone 732 619-8200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/30/2023
Certificate Expiration Date 11/29/2025
Facility Type Physician Office
Lab Director DR. NAVEEN MEHROTRA

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