31D2280654 CLIA NUMBER - WELLCARE HOLISTICS

Laboratory Demographics

  • CLIA Code: 31D2280654
  • Facility Name: WELLCARE HOLISTICS
  • Facility Address: 41 CENTER STREET
    FREEHOLD, NJ
    ZIP 07728
  • Facility Phone: 973 963-4402
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: PATRICIA ELIACIN
  • NPI Number: 1699557652
  • Taxonomy: 363LA2200X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 31D2280654
LAB Type Practitioner Other
Facility Name WELLCARE HOLISTICS
Street 41 CENTER STREET
City FREEHOLD
State NJ
ZIP 07728
Phone 973 963-4402
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/24/2025
Certificate Expiration Date 4/23/2027
Facility Type Practitioner Other
Lab Director PATRICIA ELIACIN

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