31D2250308 CLIA NUMBER - ACADEMY PEDIATRICS, PA

Laboratory Demographics

  • CLIA Code: 31D2250308
  • Facility Name: ACADEMY PEDIATRICS, PA
  • Facility Address: 410 BRIDGE PLAZA DRIVE
    MANALAPAN, NJ
    ZIP 07726
  • Facility Phone: 732 617-8888
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: YULIYA BAKSHIYEV
  • NPI Number: 1336336486
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 31D2250308
LAB Type Physician Office
Facility Name ACADEMY PEDIATRICS, PA
Street 410 BRIDGE PLAZA DRIVE
City MANALAPAN
State NJ
ZIP 07726
Phone 732 617-8888
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/26/2024
Certificate Expiration Date 1/25/2026
Facility Type Physician Office
Lab Director YULIYA BAKSHIYEV

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