31D2045523 CLIA NUMBER - BUILDING BLOCKS PEDIATRIC GROUP LLC

Laboratory Demographics

  • CLIA Code: 31D2045523
  • Facility Name: BUILDING BLOCKS PEDIATRIC GROUP LLC
  • Facility Address: 215 HARRISON AVENUE
    HARRISON, NJ
    ZIP 07029
  • Facility Phone: 862 955-3183
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROGER A. RIVERA
  • NPI Number: 1396002879
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 31D2045523
LAB Type Physician Office
Facility Name BUILDING BLOCKS PEDIATRIC GROUP LLC
Street 215 HARRISON AVENUE
City HARRISON
State NJ
ZIP 07029
Phone 862 955-3183
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/15/2024
Certificate Expiration Date 8/14/2026
Facility Type Physician Office
Lab Director ROGER A. RIVERA

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