31D2124933 CLIA NUMBER - PRINCETON ECT

Laboratory Demographics

CLIA Code: 31D2124933
Facility Name: PRINCETON ECT
Facility Address: 1000 HERRONTOWN ROAD
PRINCETON, NJ
ZIP 08540
Facility Phone: 609 613-4780
Facility Type: Other - OUTPAT BEHAVIORAL CARE
Facility Type: Waiver
Lab Director: KURT STUEBBEN
NPI Number: 1619408044
Taxonomy: 320900000X - Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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CLIA Record

Field Name	Field Value
CLIA Number	31D2124933
LAB Type	Other - OUTPAT BEHAVIORAL CARE
Facility Name	PRINCETON ECT
Street	1000 HERRONTOWN ROAD
City	PRINCETON
State	NJ
ZIP	08540
Phone	609 613-4780
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	Other - OUTPAT BEHAVIORAL CARE
Lab Director	KURT STUEBBEN

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