31D2151112 CLIA NUMBER - DELAWARE VALLEY MEDICAL

Laboratory Demographics

  • CLIA Code: 31D2151112
  • Facility Name: DELAWARE VALLEY MEDICAL
  • Facility Address: 7980 S CRESCENT BLVD
    PENNSAUKEN, NJ
    ZIP 08109
  • Facility Phone: (856) 665-5100
  • Facility Type: Other - ADDICTION TREATMENT SVCS
  • Facility Type: Waiver
  • Lab Director: CHRISTOPHER K. JOHNSTON
  • NPI Number: 1174646095
  • Taxonomy: 261QM2800X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 31D2151112
LAB Type Other - ADDICTION TREATMENT SVCS
Facility Name DELAWARE VALLEY MEDICAL
Street 7980 S CRESCENT BLVD
City PENNSAUKEN
State NJ
ZIP 08109
Phone 8566655100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/12/2026
Certificate Expiration Date 7/11/2028
Facility Type Other - ADDICTION TREATMENT SVCS
Lab Director CHRISTOPHER K. JOHNSTON

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This page was last updated on: 6/29/2026