31D2168834 CLIA NUMBER - KOALA PEDIATRICS

Laboratory Demographics

  • CLIA Code: 31D2168834
  • Facility Name: KOALA PEDIATRICS
  • Facility Address: 121 CENTER GROVE ROAD
    RANDOLPH, NJ
    ZIP 07869
  • Facility Phone: 973 361-4900
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: FIONA PAKONIS
  • NPI Number: 1740842962
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 31D2168834
LAB Type Physician Office
Facility Name KOALA PEDIATRICS
Street 121 CENTER GROVE ROAD
City RANDOLPH
State NJ
ZIP 07869
Phone 973 361-4900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/10/2025
Certificate Expiration Date 7/9/2027
Facility Type Physician Office
Lab Director FIONA PAKONIS

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