31D2304152 CLIA NUMBER - HOLISTIC PRIME CARE LLC

Laboratory Demographics

  • CLIA Code: 31D2304152
  • Facility Name: HOLISTIC PRIME CARE LLC
  • Facility Address: 225 GORDONS CORNER RD 2H
    MANALAPAN, NJ
    ZIP 07726
  • Facility Phone: 732 360-7005
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: NATALIA MALIEVA
  • NPI Number: 1598410466
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 31D2304152
LAB Type Practitioner Other
Facility Name HOLISTIC PRIME CARE LLC
Street 225 GORDONS CORNER RD 2H
City MANALAPAN
State NJ
ZIP 07726
Phone 732 360-7005
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/8/2024
Certificate Expiration Date 5/7/2026
Facility Type Practitioner Other
Lab Director NATALIA MALIEVA

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