31D2148743 CLIA NUMBER - SOBRIETY SOLUTIONS LAKESIDE, LLC

Laboratory Demographics

  • CLIA Code: 31D2148743
  • Facility Name: SOBRIETY SOLUTIONS LAKESIDE, LLC
  • Facility Address: 900 LIBERTY PLACE
    SICKLERVILLE, NJ
    ZIP 08081
  • Facility Phone: (856) 302-1362
  • Facility Type: Other - SUBSTANCE ABUSE
  • Facility Type: Waiver
  • Lab Director: NORMAN CHAZIN
  • NPI Number: 1639682438
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 31D2148743
LAB Type Other - SUBSTANCE ABUSE
Facility Name SOBRIETY SOLUTIONS LAKESIDE, LLC
Street 900 LIBERTY PLACE
City SICKLERVILLE
State NJ
ZIP 08081
Phone 8563021362
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/17/2026
Certificate Expiration Date 5/16/2028
Facility Type Other - SUBSTANCE ABUSE
Lab Director NORMAN CHAZIN

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This page was last updated on: 5/18/2026