31D2001789 CLIA NUMBER - PEDIATRIC AFFILIATES, PA

Laboratory Demographics

  • CLIA Code: 31D2001789
  • Facility Name: PEDIATRIC AFFILIATES, PA
  • Facility Address: 870 RIVER AVE
    LAKEWOOD, NJ
    ZIP 08701
  • Facility Phone: 732 367-3700
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: ROBERT SHANIK
  • NPI Number: 1992006274
  • Taxonomy: 235Z00000X - Speech-Language Pathologist

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CLIA Record

Field Name Field Value
CLIA Number 31D2001789
LAB Type Physician Office
Facility Name PEDIATRIC AFFILIATES, PA
Street 870 RIVER AVE
City LAKEWOOD
State NJ
ZIP 08701
Phone 732 367-3700
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 4/22/2024
Certificate Expiration Date 4/21/2026
Facility Type Physician Office
Lab Director ROBERT SHANIK

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