31D2154935 CLIA NUMBER - WELLNESS DERMATOLOGY LLC

Laboratory Demographics

  • CLIA Code: 31D2154935
  • Facility Name: WELLNESS DERMATOLOGY LLC
  • Facility Address: 638 LAWRENCEVILLE ROAD
    LAWRENCEVILLE, NJ
    ZIP 08648
  • Facility Phone: 609 337-7643
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ERINE A. KUPETSKY
  • NPI Number: 1477031318
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 31D2154935
LAB Type Physician Office
Facility Name WELLNESS DERMATOLOGY LLC
Street 638 LAWRENCEVILLE ROAD
City LAWRENCEVILLE
State NJ
ZIP 08648
Phone 609 337-7643
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/20/2024
Certificate Expiration Date 9/19/2026
Facility Type Physician Office
Lab Director ERINE A. KUPETSKY

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