31D2158609 CLIA NUMBER - OLD BERGEN PEDIATRICS

Laboratory Demographics

CLIA Number: 31D2158609

Facility Name: OLD BERGEN PEDIATRICS

Facility Address:
4 HIGHLAND AVENUE
JERSEY CITY, NJ
ZIP 07306
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Facility Phone Number: 201 434-3997

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1053541599

Taxonomy: 208000000X - Pediatrics
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

CLIA Record

Field Name	Field Value
CLIA Number	31D2158609
LAB Type	Physician Office
Facility Name	OLD BERGEN PEDIATRICS
Street	4 HIGHLAND AVENUE
City	JERSEY CITY
State	NJ
ZIP	07306
Phone	201 434-3997
CertificateType	4
CertificateEffectiveDate	12/3/2022
CertificateExpirationDate	12/2/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024