31D2064544 CLIA NUMBER - MEJIA PEDIATRICS LLC

Laboratory Demographics

  • CLIA Code: 31D2064544
  • Facility Name: MEJIA PEDIATRICS LLC
  • Facility Address: 433 NORTH BROAD STREET
    ELIZABETH, NJ
    ZIP 07208
  • Facility Phone: (908) 436-1002
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHANNA GONZALEZ-MEJIA
  • NPI Number: 1043507270
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 31D2064544
LAB Type Physician Office
Facility Name MEJIA PEDIATRICS LLC
Street 433 NORTH BROAD STREET
City ELIZABETH
State NJ
ZIP 07208
Phone 9084361002
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/21/2025
Certificate Expiration Date 8/20/2027
Facility Type Physician Office
Lab Director JOHANNA GONZALEZ-MEJIA

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This page was last updated on: 5/18/2026