31D2056959 CLIA NUMBER - PRINCETON NASSAU PEDIATRICS-PENNINGTON

Laboratory Demographics

CLIA Code: 31D2056959
Facility Name: PRINCETON NASSAU PEDIATRICS-PENNINGTON
Facility Address: 25 RT 31 SOUTH
PENNINGTON, NJ
ZIP 08534
Facility Phone: 609 745-5300
Facility Type: Physician Office
Facility Type: Waiver
Lab Director: WILLIAM G. GIASI JR
NPI Number: 1700562642
Taxonomy: 320900000X - Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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CLIA Record

Field Name	Field Value
CLIA Number	31D2056959
LAB Type	Physician Office
Facility Name	PRINCETON NASSAU PEDIATRICS-PENNINGTON
Street	25 RT 31 SOUTH
City	PENNINGTON
State	NJ
ZIP	08534
Phone	609 745-5300
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	1/1/2025
Certificate Expiration Date	12/31/2026
Facility Type	Physician Office
Lab Director	WILLIAM G. GIASI JR

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