31D2158190 CLIA NUMBER - HARBOR WELLNESS AND RECOVERY CENTER LLC

Laboratory Demographics

  • CLIA Code: 31D2158190
  • Facility Name: HARBOR WELLNESS AND RECOVERY CENTER LLC
  • Facility Address: 2139 RT HWY 35 N SUITE 120
    HOLMDEL, NJ
    ZIP 07733
  • Facility Phone: 609 879-1729
  • Facility Type: Other - SUBSTANCE ABUSE
  • Facility Type: Waiver
  • Lab Director: BLAKE RAUB
  • NPI Number: 1184289548
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 31D2158190
LAB Type Other - SUBSTANCE ABUSE
Facility Name HARBOR WELLNESS AND RECOVERY CENTER LLC
Street 2139 RT HWY 35 N SUITE 120
City HOLMDEL
State NJ
ZIP 07733
Phone 609 879-1729
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/23/2024
Certificate Expiration Date 11/22/2026
Facility Type Other - SUBSTANCE ABUSE
Lab Director BLAKE RAUB

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