31D2036511 CLIA NUMBER - WARREN PEDIATRIC ASSOCIATES

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Laboratory Demographics

CLIA Number: 31D2036511

Facility Name: WARREN PEDIATRIC ASSOCIATES

Facility Address:
34 MOUNTAIN BLVD, BLDG A STE 130
WARREN, NJ
ZIP 07059
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Facility Phone Number: 908 490-0900

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1821369422

Taxonomy: 2080A0000X - Pediatrics
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

CLIA Record

Field Name	Field Value
CLIA Number	31D2036511
LAB Type	Physician Office
Facility Name	WARREN PEDIATRIC ASSOCIATES
Street	34 MOUNTAIN BLVD, BLDG A STE 130
City	WARREN
State	NJ
ZIP	07059
Phone	908 490-0900
CertificateType	4
CertificateEffectiveDate	2/8/2024
CertificateExpirationDate	2/7/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024