31D2149556 CLIA NUMBER - INTEGRAL CARE PEDIATRICS LLC

Laboratory Demographics

  • CLIA Code: 31D2149556
  • Facility Name: INTEGRAL CARE PEDIATRICS LLC
  • Facility Address: 562 KINGSLAND STREET
    NUTLEY, NJ
    ZIP 07110
  • Facility Phone: 973 235-0101
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARIA TURIZO
  • NPI Number: 1265968440
  • Taxonomy: 208000000X - Pediatrics

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 31D2149556
LAB Type Physician Office
Facility Name INTEGRAL CARE PEDIATRICS LLC
Street 562 KINGSLAND STREET
City NUTLEY
State NJ
ZIP 07110
Phone 973 235-0101
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/6/2024
Certificate Expiration Date 6/5/2026
Facility Type Physician Office
Lab Director MARIA TURIZO

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