31D2300417 CLIA NUMBER - FAMILY PEDIATRICS LLC

Laboratory Demographics

  • CLIA Code: 31D2300417
  • Facility Name: FAMILY PEDIATRICS LLC
  • Facility Address: 210 HAMBURG TURNPIKE
    WAYNE, NJ
    ZIP 07470
  • Facility Phone: 973 942-9191
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: IWUOZO L. OBILO
  • NPI Number: 1952541963
  • Taxonomy: 302F00000X - Exclusive Provider Organization

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CLIA Record

Field Name Field Value
CLIA Number 31D2300417
LAB Type Physician Office
Facility Name FAMILY PEDIATRICS LLC
Street 210 HAMBURG TURNPIKE
City WAYNE
State NJ
ZIP 07470
Phone 973 942-9191
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/11/2024
Certificate Expiration Date 3/10/2026
Facility Type Physician Office
Lab Director IWUOZO L. OBILO

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