31D2132077 CLIA NUMBER - HEALTHY LIFE MD LLC

Laboratory Demographics

  • CLIA Code: 31D2132077
  • Facility Name: HEALTHY LIFE MD LLC
  • Facility Address: 3840 PARK AVENUE, SUITE 103
    EDISON, NJ
    ZIP 08820
  • Facility Phone: 732 515-9944
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. SHOBANA NATARAJAN
  • NPI Number: 1972041143
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D2132077
LAB Type Physician Office
Facility Name HEALTHY LIFE MD LLC
Street 3840 PARK AVENUE, SUITE 103
City EDISON
State NJ
ZIP 08820
Phone 732 515-9944
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/12/2025
Certificate Expiration Date 6/11/2027
Facility Type Physician Office
Lab Director DR. SHOBANA NATARAJAN

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