31D0972578 CLIA NUMBER - LIVE WELL PEDIATRICS

Laboratory Demographics

  • CLIA Code: 31D0972578
  • Facility Name: LIVE WELL PEDIATRICS
  • Facility Address: 171 FRANKLIN TURNPIKE
    WALDWICK, NJ
    ZIP 07463
  • Facility Phone: 201 612-5100
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MELISSA SEGAL
  • NPI Number: 1245652338
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 31D0972578
LAB Type Physician Office
Facility Name LIVE WELL PEDIATRICS
Street 171 FRANKLIN TURNPIKE
City WALDWICK
State NJ
ZIP 07463
Phone 201 612-5100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/22/2025
Certificate Expiration Date 8/21/2027
Facility Type Physician Office
Lab Director MELISSA SEGAL

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