31D2328782 CLIA NUMBER - PEDIATRICS A1

Laboratory Demographics

  • CLIA Code: 31D2328782
  • Facility Name: PEDIATRICS A1
  • Facility Address: 2775 JOHN F KENNEDY BLVD
    JERSEY CITY, NJ
    ZIP 07306
  • Facility Phone: 201 540-2000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. NAGI ELTEMSAH
  • NPI Number: 1538221171
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 31D2328782
LAB Type Physician Office
Facility Name PEDIATRICS A1
Street 2775 JOHN F KENNEDY BLVD
City JERSEY CITY
State NJ
ZIP 07306
Phone 201 540-2000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/18/2025
Certificate Expiration Date 8/17/2027
Facility Type Physician Office
Lab Director DR. NAGI ELTEMSAH

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