31D2159758 CLIA NUMBER - ELITE PEDIATRICS LLC

Laboratory Demographics

CLIA Number: 31D2159758

Facility Name: ELITE PEDIATRICS LLC

Facility Address:
1 BROADWAY, SUITE 303
ELMWOOD PARK, NJ
ZIP 07407
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Facility Phone Number: 201 794-8855

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1588107874

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	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
CertificateType	4
CertificateEffectiveDate	12/26/2022
CertificateExpirationDate	12/25/2024
FacilityType	Waiver

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