31D2272691 CLIA NUMBER - RUTHERFORD PEDIATRICS & PED PULMONARY

Laboratory Demographics

  • CLIA Code: 31D2272691
  • Facility Name: RUTHERFORD PEDIATRICS & PED PULMONARY
  • Facility Address: 338 UNION AVE
    RUTHERFORD, NJ
    ZIP 07070
  • Facility Phone: 201 842-0501
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GRACE BECZ
  • NPI Number: 1508938291
  • Taxonomy: 2080A0000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 31D2272691
LAB Type Physician Office
Facility Name RUTHERFORD PEDIATRICS & PED PULMONARY
Street 338 UNION AVE
City RUTHERFORD
State NJ
ZIP 07070
Phone 201 842-0501
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/28/2024
Certificate Expiration Date 11/27/2026
Facility Type Physician Office
Lab Director GRACE BECZ

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