31D2159758 CLIA NUMBER - ELITE PEDIATRICS LLC

Laboratory Demographics

  • CLIA Code: 31D2159758
  • Facility Name: ELITE PEDIATRICS LLC
  • Facility Address: 1 BROADWAY, SUITE 303
    ELMWOOD PARK, NJ
    ZIP 07407
  • Facility Phone: 201 794-8855
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROULA A. RAMADI
  • NPI Number: 1588107874
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 31D2159758
LAB Type Physician Office
Facility Name ELITE PEDIATRICS LLC
Street 1 BROADWAY, SUITE 303
City ELMWOOD PARK
State NJ
ZIP 07407
Phone 201 794-8855
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/26/2024
Certificate Expiration Date 12/25/2026
Facility Type Physician Office
Lab Director ROULA A. RAMADI

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