31D2227021 CLIA NUMBER - IMMEDIHEALTH & WELLNESS CENTER

Laboratory Demographics

CLIA Number: 31D2227021

Facility Name: IMMEDIHEALTH & WELLNESS CENTER

Facility Address:
120 LOWER NOTCH SUITE 200
LITTLE FALLS, NJ
ZIP 07424
Get Directions

Facility Phone Number: 973 812-0600

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1760622955

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	31D2227021
LAB Type	Physician Office
Facility Name	IMMEDIHEALTH & WELLNESS CENTER
Street	120 LOWER NOTCH SUITE 200
City	LITTLE FALLS
State	NJ
ZIP	07424
Phone	973 812-0600
CertificateType	4
CertificateEffectiveDate	6/7/2023
CertificateExpirationDate	6/6/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024