31D2106845 CLIA NUMBER - CELEBRITY PEDIATRICS INC

Laboratory Demographics

  • CLIA Code: 31D2106845
  • Facility Name: CELEBRITY PEDIATRICS INC
  • Facility Address: 10 SHAWNEE DRIVE, #A4
    WATCHUNG, NJ
    ZIP 07069
  • Facility Phone: 917 617-2194
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: EDWARD A. KULICH
  • NPI Number: 1508247503
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 31D2106845
LAB Type Physician Office
Facility Name CELEBRITY PEDIATRICS INC
Street 10 SHAWNEE DRIVE, #A4
City WATCHUNG
State NJ
ZIP 07069
Phone 917 617-2194
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/30/2023
Certificate Expiration Date 12/29/2025
Facility Type Physician Office
Lab Director EDWARD A. KULICH

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