31D2165945 CLIA NUMBER - WILLOWBROOK PEDIATRICS/BCD HEALTH PARTNER

Laboratory Demographics

  • CLIA Code: 31D2165945
  • Facility Name: WILLOWBROOK PEDIATRICS/BCD HEALTH PARTNER
  • Facility Address: 57 WILLOWBROOK BLVD, SUITE 421
    WAYNE, NJ
    ZIP 07470
  • Facility Phone: 973 754-4025
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PATRICIA PAPADOPOULOS
  • NPI Number: 1154388403
  • Taxonomy: 2080A0000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 31D2165945
LAB Type Physician Office
Facility Name WILLOWBROOK PEDIATRICS/BCD HEALTH PARTNER
Street 57 WILLOWBROOK BLVD, SUITE 421
City WAYNE
State NJ
ZIP 07470
Phone 973 754-4025
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/8/2025
Certificate Expiration Date 5/7/2027
Facility Type Physician Office
Lab Director PATRICIA PAPADOPOULOS

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