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31D2178075 CLIA NUMBER - PEDIATRIC CENTER 2000

Laboratory Demographics

CLIA Number: 31D2178075

Facility Name: PEDIATRIC CENTER 2000

Facility Address:
571 N 6TH STREET
NEWARK, NJ
ZIP 07107
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Facility Phone Number: 973 485-5401

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1386645208

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 31D2178075
LAB Type Physician Office
Facility Name PEDIATRIC CENTER 2000
Street 571 N 6TH STREET
City NEWARK
State NJ
ZIP 07107
Phone 973 485-5401
CertificateType 4
CertificateEffectiveDate 1/27/2024
CertificateExpirationDate 1/26/2026
FacilityType Waiver

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