31D2003769 CLIA NUMBER - UNION COUNTY PEDIATRIC GROUP

Laboratory Demographics

  • CLIA Code: 31D2003769
  • Facility Name: UNION COUNTY PEDIATRIC GROUP
  • Facility Address: 817 RAHWAY AVENUE
    ELIZABETH, NJ
    ZIP 07202
  • Facility Phone: 908 353-5750
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RAGHUNANDAN SUNDARAM
  • NPI Number: 1831379841
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 31D2003769
LAB Type Physician Office
Facility Name UNION COUNTY PEDIATRIC GROUP
Street 817 RAHWAY AVENUE
City ELIZABETH
State NJ
ZIP 07202
Phone 908 353-5750
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/23/2025
Certificate Expiration Date 4/22/2027
Facility Type Physician Office
Lab Director RAGHUNANDAN SUNDARAM

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