31D2045523 CLIA NUMBER - BUILDING BLOCKS PEDIATRIC GROUP LLC

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Laboratory Demographics

CLIA Number: 31D2045523

Facility Name: BUILDING BLOCKS PEDIATRIC GROUP LLC

Facility Address:
215 HARRISON AVENUE
HARRISON, NJ
ZIP 07029
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Facility Phone Number: 862 955-3183

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1396002879

Taxonomy: 208000000X - Pediatrics
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

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
CertificateType	4
CertificateEffectiveDate	8/15/2022
CertificateExpirationDate	8/14/2024
FacilityType	Waiver

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