31D2120326 CLIA NUMBER - BIDABADI PEDIATRICS, LLC

Laboratory Demographics

  • CLIA Code: 31D2120326
  • Facility Name: BIDABADI PEDIATRICS, LLC
  • Facility Address: 3086 ROUTE 27, SUITE 8
    KENDALL PARK, NJ
    ZIP 08824
  • Facility Phone: 732 422-0393
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: BOBAK BIDABADI
  • NPI Number: 1164975447
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 31D2120326
LAB Type Practitioner Other
Facility Name BIDABADI PEDIATRICS, LLC
Street 3086 ROUTE 27, SUITE 8
City KENDALL PARK
State NJ
ZIP 08824
Phone 732 422-0393
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/14/2024
Certificate Expiration Date 10/13/2026
Facility Type Practitioner Other
Lab Director BOBAK BIDABADI

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