31D2115141 CLIA NUMBER - CHILDREN'S SPECIALIZED HOSP PRIMARY CARE HAMILTON

Laboratory Demographics

  • CLIA Code: 31D2115141
  • Facility Name: CHILDREN'S SPECIALIZED HOSP PRIMARY CARE HAMILTON
  • Facility Address: 3575 QUAKERBRIDGE ROAD
    HAMILTON, NJ
    ZIP 08619
  • Facility Phone: 732 258-7128
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARY O. CARAYANNOPOULOS
  • NPI Number: 1780432831
  • Taxonomy: 103K00000X - Behavior Analyst

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CLIA Record

Field Name Field Value
CLIA Number 31D2115141
LAB Type Physician Office
Facility Name CHILDREN'S SPECIALIZED HOSP PRIMARY CARE HAMILTON
Street 3575 QUAKERBRIDGE ROAD
City HAMILTON
State NJ
ZIP 08619
Phone 732 258-7128
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/29/2024
Certificate Expiration Date 6/28/2026
Facility Type Physician Office
Lab Director MARY O. CARAYANNOPOULOS

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