31D2261963 CLIA NUMBER - SPRING LAKE PEDIATRICS A MEMBER OF CONSENSUS HEALTH

Laboratory Demographics

  • CLIA Code: 31D2261963
  • Facility Name: SPRING LAKE PEDIATRICS A MEMBER OF CONSENSUS HEALTH
  • Facility Address: 613 WARREN AVE
    SPRING LAKE HEIGHTS, NJ
    ZIP 07762
  • Facility Phone: 732 974-1444
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ELLEN MIELE
  • NPI Number: 1639398365
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 31D2261963
LAB Type Physician Office
Facility Name SPRING LAKE PEDIATRICS A MEMBER OF CONSENSUS HEALTH
Street 613 WARREN AVE
City SPRING LAKE HEIGHTS
State NJ
ZIP 07762
Phone 732 974-1444
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/7/2024
Certificate Expiration Date 6/6/2026
Facility Type Physician Office
Lab Director ELLEN MIELE

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This page was last updated on: 3/20/2025