31D2206475 CLIA NUMBER - YOUR KIDS URGENT CARE OF NEW JERSEY

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Laboratory Demographics

CLIA Number: 31D2206475

Facility Name: YOUR KIDS URGENT CARE OF NEW JERSEY

Facility Address:
1286 SPRINGFIELD AVENUE
NEW PROVIDENCE, NJ
ZIP 07974
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Facility Phone Number: 908 408-3338

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1699305938

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	31D2206475
LAB Type	Physician Office
Facility Name	YOUR KIDS URGENT CARE OF NEW JERSEY
Street	1286 SPRINGFIELD AVENUE
City	NEW PROVIDENCE
State	NJ
ZIP	07974
Phone	908 408-3338
CertificateType	4
CertificateEffectiveDate	12/21/2022
CertificateExpirationDate	12/20/2024
FacilityType	Waiver

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