31D2283252 CLIA NUMBER - MPOWER WELLNESS NJ, LLC

Laboratory Demographics

  • CLIA Code: 31D2283252
  • Facility Name: MPOWER WELLNESS NJ, LLC
  • Facility Address: 231 CLARKSVILLE RD -SUITE 1
    WEST WINDSOR, NJ
    ZIP 08550
  • Facility Phone: 856 230-5029
  • Facility Type: Other - OUTPATIENT SUD TREATMENT
  • Facility Type: Waiver
  • Lab Director: NICHOLAS PETRILLO
  • NPI Number: 1518659127
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 31D2283252
LAB Type Other - OUTPATIENT SUD TREATMENT
Facility Name MPOWER WELLNESS NJ, LLC
Street 231 CLARKSVILLE RD -SUITE 1
City WEST WINDSOR
State NJ
ZIP 08550
Phone 856 230-5029
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/5/2025
Certificate Expiration Date 6/4/2027
Facility Type Other - OUTPATIENT SUD TREATMENT
Lab Director NICHOLAS PETRILLO

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