31D2316025 CLIA NUMBER - MENDFUL MINDS WELLNESS CENTER LLC

Laboratory Demographics

  • CLIA Code: 31D2316025
  • Facility Name: MENDFUL MINDS WELLNESS CENTER LLC
  • Facility Address: 375 N MAIN STREET B4
    WILLIAMSTOWN, NJ
    ZIP 08094
  • Facility Phone: 856 526-9652
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: CONSTANCE M. COURDUFF
  • NPI Number: 1629852918
  • Taxonomy: 363LP0808X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 31D2316025
LAB Type Independent
Facility Name MENDFUL MINDS WELLNESS CENTER LLC
Street 375 N MAIN STREET B4
City WILLIAMSTOWN
State NJ
ZIP 08094
Phone 856 526-9652
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/26/2024
Certificate Expiration Date 12/25/2026
Facility Type Independent
Lab Director CONSTANCE M. COURDUFF

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