31D2303142 CLIA NUMBER - PROSPER HEALTH AND WELLNESS, PC

Laboratory Demographics

  • CLIA Code: 31D2303142
  • Facility Name: PROSPER HEALTH AND WELLNESS, PC
  • Facility Address: 271 RT 46 WEST UNIT C110
    FAIRFIELD, NJ
    ZIP 07004
  • Facility Phone: 862 217-5002
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: FILOMENA ILARIA
  • NPI Number: 1619759636
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 31D2303142
LAB Type Practitioner Other
Facility Name PROSPER HEALTH AND WELLNESS, PC
Street 271 RT 46 WEST UNIT C110
City FAIRFIELD
State NJ
ZIP 07004
Phone 862 217-5002
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/22/2024
Certificate Expiration Date 4/21/2026
Facility Type Practitioner Other
Lab Director FILOMENA ILARIA

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