31D2032569 CLIA NUMBER - MW WELLNESS VII

Laboratory Demographics

  • CLIA Code: 31D2032569
  • Facility Name: MW WELLNESS VII
  • Facility Address: 81 RT 10 EAST
    RANDOLPH, NJ
    ZIP 07869
  • Facility Phone: 973 646-8383
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: MICHAEL J. STRAKER
  • NPI Number: 1538666946
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D2032569
LAB Type Practitioner Other
Facility Name MW WELLNESS VII
Street 81 RT 10 EAST
City RANDOLPH
State NJ
ZIP 07869
Phone 973 646-8383
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/10/2023
Certificate Expiration Date 11/9/2025
Facility Type Practitioner Other
Lab Director MICHAEL J. STRAKER

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