31D2252964 CLIA NUMBER - WASHINGTON ST PEDIATRICS, LLC

Laboratory Demographics

  • CLIA Code: 31D2252964
  • Facility Name: WASHINGTON ST PEDIATRICS, LLC
  • Facility Address: 200 WASHINGTON STREET
    NEWARK, NJ
    ZIP 07102
  • Facility Phone: 973 622-3890
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARC ROBERTS
  • NPI Number: 1447311493
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 31D2252964
LAB Type Physician Office
Facility Name WASHINGTON ST PEDIATRICS, LLC
Street 200 WASHINGTON STREET
City NEWARK
State NJ
ZIP 07102
Phone 973 622-3890
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/16/2024
Certificate Expiration Date 2/15/2026
Facility Type Physician Office
Lab Director MARC ROBERTS

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