31D2060123 CLIA NUMBER - SUDHAKAR J KHAROD, MD,PA

Laboratory Demographics

  • CLIA Code: 31D2060123
  • Facility Name: SUDHAKAR J KHAROD, MD,PA
  • Facility Address: 507 4TH AVENUE
    ASBURY PARK, NJ
    ZIP 07712
  • Facility Phone: 732 774-5600
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SUDHAKAR J. KHAROD
  • NPI Number: 1518937580
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 31D2060123
LAB Type Physician Office
Facility Name SUDHAKAR J KHAROD, MD,PA
Street 507 4TH AVENUE
City ASBURY PARK
State NJ
ZIP 07712
Phone 732 774-5600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/29/2025
Certificate Expiration Date 3/28/2027
Facility Type Physician Office
Lab Director SUDHAKAR J. KHAROD

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