31D2126257 CLIA NUMBER - KINDER PEDIATRIC URGENT CARE, INC

Laboratory Demographics

  • CLIA Code: 31D2126257
  • Facility Name: KINDER PEDIATRIC URGENT CARE, INC
  • Facility Address: 465 ROUTE 46 WEST
    TOTOWA, NJ
    ZIP 07512
  • Facility Phone: 732 371-4400
  • Facility Type: Other - URGENT CARE
  • Facility Type: Waiver
  • Lab Director: PATRINA KONNICK
  • NPI Number: 1679812630
  • Taxonomy: 2080P0204X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 31D2126257
LAB Type Other - URGENT CARE
Facility Name KINDER PEDIATRIC URGENT CARE, INC
Street 465 ROUTE 46 WEST
City TOTOWA
State NJ
ZIP 07512
Phone 732 371-4400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/3/2024
Certificate Expiration Date 3/2/2026
Facility Type Other - URGENT CARE
Lab Director PATRINA KONNICK

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