31D2110171 CLIA NUMBER - BAYONNE PEDIATRIC PRACTICE

Laboratory Demographics

  • CLIA Code: 31D2110171
  • Facility Name: BAYONNE PEDIATRIC PRACTICE
  • Facility Address: 765 JOHN F KENNEDY BOULEVARD
    BAYONNE, NJ
    ZIP 07002
  • Facility Phone: 201 823-4141
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHALINI N. RAGHU
  • NPI Number: 1427416304
  • Taxonomy: 208000000X - Pediatrics

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 31D2110171
LAB Type Physician Office
Facility Name BAYONNE PEDIATRIC PRACTICE
Street 765 JOHN F KENNEDY BOULEVARD
City BAYONNE
State NJ
ZIP 07002
Phone 201 823-4141
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/10/2024
Certificate Expiration Date 3/9/2026
Facility Type Physician Office
Lab Director SHALINI N. RAGHU

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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