31D2142652 CLIA NUMBER - ENLIGHTENED SOLUTIONS DETOX LLC

Laboratory Demographics

  • CLIA Code: 31D2142652
  • Facility Name: ENLIGHTENED SOLUTIONS DETOX LLC
  • Facility Address: 1501 N ALBANY AVE
    ATLANTIC CITY, NJ
    ZIP 08401
  • Facility Phone: 609 270-5047
  • Facility Type: Other - SUBSTANCE ABUSE DETOX TRE
  • Facility Type: Waiver
  • Lab Director: ANDREW YOUSSOUF
  • NPI Number: 1326554882
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 31D2142652
LAB Type Other - SUBSTANCE ABUSE DETOX TRE
Facility Name ENLIGHTENED SOLUTIONS DETOX LLC
Street 1501 N ALBANY AVE
City ATLANTIC CITY
State NJ
ZIP 08401
Phone 609 270-5047
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/17/2024
Certificate Expiration Date 1/16/2026
Facility Type Other - SUBSTANCE ABUSE DETOX TRE
Lab Director ANDREW YOUSSOUF

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