31D2290334 CLIA NUMBER - LIVEWELL PAIN MANAGEMENT, PC

Laboratory Demographics

  • CLIA Code: 31D2290334
  • Facility Name: LIVEWELL PAIN MANAGEMENT, PC
  • Facility Address: 9 SUMMIT AVENUE
    ELMWOOD PARK, NJ
    ZIP 07407
  • Facility Phone: 201 458-1080
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NORA TAHA
  • NPI Number: 1851086441
  • Taxonomy: 208100000X - Physical Medicine & Rehabilitation

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CLIA Record

Field Name Field Value
CLIA Number 31D2290334
LAB Type Physician Office
Facility Name LIVEWELL PAIN MANAGEMENT, PC
Street 9 SUMMIT AVENUE
City ELMWOOD PARK
State NJ
ZIP 07407
Phone 201 458-1080
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/25/2025
Certificate Expiration Date 9/24/2027
Facility Type Physician Office
Lab Director NORA TAHA

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