31D2124929 CLIA NUMBER - PRINCETON BEHAVIOR HOUSE

Laboratory Demographics

  • CLIA Code: 31D2124929
  • Facility Name: PRINCETON BEHAVIOR HOUSE
  • Facility Address: 905 HERRONTOWN ROAD
    PRINCETON, NJ
    ZIP 08540
  • Facility Phone: 609 497-3300
  • Facility Type: Insurance
  • Facility Type: Waiver
  • Lab Director: ANATOLIY YANOVSKY
  • NPI Number: 1841387073
  • Taxonomy: 103TB0200X - Psychologist

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CLIA Record

Field Name Field Value
CLIA Number 31D2124929
LAB Type Insurance
Facility Name PRINCETON BEHAVIOR HOUSE
Street 905 HERRONTOWN ROAD
City PRINCETON
State NJ
ZIP 08540
Phone 609 497-3300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/27/2025
Certificate Expiration Date 1/26/2027
Facility Type Insurance
Lab Director ANATOLIY YANOVSKY

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