31D2277042 CLIA NUMBER - HOLMDEL PEDIATRICS LLC

Laboratory Demographics

  • CLIA Code: 31D2277042
  • Facility Name: HOLMDEL PEDIATRICS LLC
  • Facility Address: 719 N BEERS STREET SUITE 1E
    HOLMDEL, NJ
    ZIP 07733
  • Facility Phone: 732 739-4414
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SOWMINI KOMMIREDDI
  • NPI Number: 1760618383
  • Taxonomy: 2080A0000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 31D2277042
LAB Type Physician Office
Facility Name HOLMDEL PEDIATRICS LLC
Street 719 N BEERS STREET SUITE 1E
City HOLMDEL
State NJ
ZIP 07733
Phone 732 739-4414
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/21/2025
Certificate Expiration Date 2/20/2027
Facility Type Physician Office
Lab Director SOWMINI KOMMIREDDI

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