31D2311708 CLIA NUMBER - NU FORMA WELLNESS NJ LLC DBA NUFORMA WELLNESS

Laboratory Demographics

  • CLIA Code: 31D2311708
  • Facility Name: NU FORMA WELLNESS NJ LLC DBA NUFORMA WELLNESS
  • Facility Address: 127 VALLEY ROAD STE 5
    MONTCLAIR, NJ
    ZIP 07042
  • Facility Phone: 212 448-5998
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: FRANCIS ONWOCHEI
  • NPI Number: 1184476277
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D2311708
LAB Type Physician Office
Facility Name NU FORMA WELLNESS NJ LLC DBA NUFORMA WELLNESS
Street 127 VALLEY ROAD STE 5
City MONTCLAIR
State NJ
ZIP 07042
Phone 212 448-5998
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/26/2024
Certificate Expiration Date 9/25/2026
Facility Type Physician Office
Lab Director FRANCIS ONWOCHEI

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