31D2309393 CLIA NUMBER - WELLNESS PLUS PHARMACY

Laboratory Demographics

  • CLIA Code: 31D2309393
  • Facility Name: WELLNESS PLUS PHARMACY
  • Facility Address: 1076 SPRINGFIELD AVENUE
    IRVINGTON, NJ
    ZIP 07111
  • Facility Phone: 973 399-1150
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: OLUSEGUN B. ADEYEMO
  • NPI Number: 1831806249
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2309393
LAB Type Pharmacy
Facility Name WELLNESS PLUS PHARMACY
Street 1076 SPRINGFIELD AVENUE
City IRVINGTON
State NJ
ZIP 07111
Phone 973 399-1150
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/14/2024
Certificate Expiration Date 8/13/2026
Facility Type Pharmacy
Lab Director OLUSEGUN B. ADEYEMO

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