31D2074016 CLIA NUMBER - HEALTHY CHILD PEDIATRICS, LLC

Laboratory Demographics

  • CLIA Code: 31D2074016
  • Facility Name: HEALTHY CHILD PEDIATRICS, LLC
  • Facility Address: 217 60TH STREET
    WEST NEW YORK, NJ
    ZIP 07093
  • Facility Phone: 201 869-1108
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ALTAGRACIA MUNOZ-LLAVERIAS
  • NPI Number: 1861593261
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 31D2074016
LAB Type Physician Office
Facility Name HEALTHY CHILD PEDIATRICS, LLC
Street 217 60TH STREET
City WEST NEW YORK
State NJ
ZIP 07093
Phone 201 869-1108
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/27/2024
Certificate Expiration Date 2/26/2026
Facility Type Physician Office
Lab Director ALTAGRACIA MUNOZ-LLAVERIAS

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