31D2068336 CLIA NUMBER - AVENUE PEDIATRICS

Laboratory Demographics

  • CLIA Code: 31D2068336
  • Facility Name: AVENUE PEDIATRICS
  • Facility Address: 1140 BLOOMFIELD AVENUE SUITE 213
    WEST CALDWELL, NJ
    ZIP 07006
  • Facility Phone: 973 228-6302
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MOJISOLA ADARAMOLA
  • NPI Number: 1265859094
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 31D2068336
LAB Type Physician Office
Facility Name AVENUE PEDIATRICS
Street 1140 BLOOMFIELD AVENUE SUITE 213
City WEST CALDWELL
State NJ
ZIP 07006
Phone 973 228-6302
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/14/2024
Certificate Expiration Date 6/13/2026
Facility Type Physician Office
Lab Director MOJISOLA ADARAMOLA

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