CLIA lab

CLIA 31D0104674: Kintiroglou Pediatrics LLC

West Orange, NJ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 31D0104674 belongs to Kintiroglou Pediatrics LLC in West Orange, NJ.

Certificate of Waiver, effective December 23, 2024, expires December 22, 2026.

Active in the CMS Provider of Services file posted October 16, 2026.

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

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Certificate

Certificate type
Certificate of Waiver
Certificate effective
December 23, 2024
Certificate expiration
December 22, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
September 1, 1992
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
31D0104674
Lab name
Kintiroglou Pediatrics LLC
Address
745 Northfield Ave, Suite 7, West Orange, NJ 07052
Phone
(973) 243-0002
Fax
(973) 243-1227

Annual test volume the lab reported

Waived tests
1,500

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

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Related

Questions

What is the CLIA number for Kintiroglou Pediatrics LLC in West Orange?

31D0104674, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Kintiroglou Pediatrics LLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 31D0104674 expire?

The CMS file lists December 22, 2026 as the certificate expiration date; the certificate took effect December 23, 2024.

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