31D2181423 CLIA NUMBER - MAPLE AVE PEDIATRICS

Laboratory Demographics

  • CLIA Code: 31D2181423
  • Facility Name: MAPLE AVE PEDIATRICS
  • Facility Address: 23-00 RT 208 SOUTH
    FAIR LAWN, NJ
    ZIP 07410
  • Facility Phone: 201 797-1900
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KATHLEEN GREANEY
  • NPI Number: 1619932522
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 31D2181423
LAB Type Physician Office
Facility Name MAPLE AVE PEDIATRICS
Street 23-00 RT 208 SOUTH
City FAIR LAWN
State NJ
ZIP 07410
Phone 201 797-1900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/3/2024
Certificate Expiration Date 4/2/2026
Facility Type Physician Office
Lab Director KATHLEEN GREANEY

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