31D2124697 CLIA NUMBER - GOLDSTAR PEDIATRICS

Laboratory Demographics

  • CLIA Code: 31D2124697
  • Facility Name: GOLDSTAR PEDIATRICS
  • Facility Address: 9 PROFESSIONAL CIRCLE SUITE 103 N
    COLTS NECK, NJ
    ZIP 07722
  • Facility Phone: 609 457-5941
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RITU KHULLAR
  • NPI Number: 1104368208
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 31D2124697
LAB Type Physician Office
Facility Name GOLDSTAR PEDIATRICS
Street 9 PROFESSIONAL CIRCLE SUITE 103 N
City COLTS NECK
State NJ
ZIP 07722
Phone 609 457-5941
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/24/2025
Certificate Expiration Date 1/23/2027
Facility Type Physician Office
Lab Director RITU KHULLAR

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