31D2132661 CLIA NUMBER - PINNACLE TREATMENT CENTERS NJ-II, LLC STATELINE MEDICAL

Laboratory Demographics

  • CLIA Code: 31D2132661
  • Facility Name: PINNACLE TREATMENT CENTERS NJ-II, LLC STATELINE MEDICAL
  • Facility Address: 590 MARSHALL STREET
    PHILLIPSBURG, NJ
    ZIP 08865
  • Facility Phone: 908 387-0003
  • Facility Type: Other - ALCOHOL & DRUG TREATMENT
  • Facility Type: Waiver
  • Lab Director: CHRISTOPHER K. JOHNSTON
  • NPI Number: 1942322813
  • Taxonomy: 261QM2800X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 31D2132661
LAB Type Other - ALCOHOL & DRUG TREATMENT
Facility Name PINNACLE TREATMENT CENTERS NJ-II, LLC STATELINE MEDICAL
Street 590 MARSHALL STREET
City PHILLIPSBURG
State NJ
ZIP 08865
Phone 908 387-0003
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/26/2025
Certificate Expiration Date 6/25/2027
Facility Type Other - ALCOHOL & DRUG TREATMENT
Lab Director CHRISTOPHER K. JOHNSTON

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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