31D0112735 CLIA NUMBER - PREVENTIVE PLUS

Laboratory Demographics

  • CLIA Code: 31D0112735
  • Facility Name: PREVENTIVE PLUS
  • Facility Address: 1 W RIDGEWOOD AVE
    PARAMUS, NJ
    ZIP 07652
  • Facility Phone: 201 444-3060
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JEFFREY S. LIVA MD
  • NPI Number: 1205886777
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D0112735
LAB Type Physician Office
Facility Name PREVENTIVE PLUS
Street 1 W RIDGEWOOD AVE
City PARAMUS
State NJ
ZIP 07652
Phone 201 444-3060
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/26/2024
Certificate Expiration Date 7/25/2026
Facility Type Physician Office
Lab Director JEFFREY S. LIVA MD

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This page was last updated on: 6/4/2025