31D2192372 CLIA NUMBER - INTEGRATED WELLNESS MEDICINE

Laboratory Demographics

  • CLIA Code: 31D2192372
  • Facility Name: INTEGRATED WELLNESS MEDICINE
  • Facility Address: 999 CLIFTON AVE
    CLIFTON, NJ
    ZIP 07013
  • Facility Phone: 973 750-4048
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RAYMOND D. REITER
  • NPI Number: 1427661529
  • Taxonomy: 2081S0010X - Physical Medicine & Rehabilitation

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CLIA Record

Field Name Field Value
CLIA Number 31D2192372
LAB Type Physician Office
Facility Name INTEGRATED WELLNESS MEDICINE
Street 999 CLIFTON AVE
City CLIFTON
State NJ
ZIP 07013
Phone 973 750-4048
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/9/2024
Certificate Expiration Date 9/8/2026
Facility Type Physician Office
Lab Director RAYMOND D. REITER

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