31D2323917 CLIA NUMBER - KAVITA BUPATHI MD LLC

Laboratory Demographics

  • CLIA Code: 31D2323917
  • Facility Name: KAVITA BUPATHI MD LLC
  • Facility Address: 2 ETHEL ROAD #206 B
    EDISON, NJ
    ZIP 08817
  • Facility Phone: 732 650-0350
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KAVITA BUPATHI
  • NPI Number: 1992732135
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 31D2323917
LAB Type Physician Office
Facility Name KAVITA BUPATHI MD LLC
Street 2 ETHEL ROAD #206 B
City EDISON
State NJ
ZIP 08817
Phone 732 650-0350
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/15/2025
Certificate Expiration Date 5/14/2027
Facility Type Physician Office
Lab Director KAVITA BUPATHI

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