31D2307635 CLIA NUMBER - SKIN SECRETS WELLNESS PC DBA SKIN SECRETS DERMATOLOGY AESTHETICS AND WELLNESS

Laboratory Demographics

  • CLIA Code: 31D2307635
  • Facility Name: SKIN SECRETS WELLNESS PC DBA SKIN SECRETS DERMATOLOGY AESTHETICS AND WELLNESS
  • Facility Address: 70 PARK AVENUE UNIT #3
    PARK RIDGE, NJ
    ZIP 07656
  • Facility Phone: 201 582-8015
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SOPHIA D. REID
  • NPI Number: 1881431633
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 31D2307635
LAB Type Physician Office
Facility Name SKIN SECRETS WELLNESS PC DBA SKIN SECRETS DERMATOLOGY AESTHETICS AND WELLNESS
Street 70 PARK AVENUE UNIT #3
City PARK RIDGE
State NJ
ZIP 07656
Phone 201 582-8015
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/11/2024
Certificate Expiration Date 7/10/2026
Facility Type Physician Office
Lab Director SOPHIA D. REID

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