31D2163225 CLIA NUMBER - ENDEAVOR HOUSE NORTH DBA AW II, LLC

Laboratory Demographics

  • CLIA Code: 31D2163225
  • Facility Name: ENDEAVOR HOUSE NORTH DBA AW II, LLC
  • Facility Address: 206 BERGEN AVE
    KEARNY, NJ
    ZIP 07032
  • Facility Phone: 732 982-2674
  • Facility Type: Other - DRUG & ALCOHOL REHAB FACI
  • Facility Type: Waiver
  • Lab Director: DAVID HU
  • NPI Number: 1154888469
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 31D2163225
LAB Type Other - DRUG & ALCOHOL REHAB FACI
Facility Name ENDEAVOR HOUSE NORTH DBA AW II, LLC
Street 206 BERGEN AVE
City KEARNY
State NJ
ZIP 07032
Phone 732 982-2674
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/11/2025
Certificate Expiration Date 3/10/2027
Facility Type Other - DRUG & ALCOHOL REHAB FACI
Lab Director DAVID HU

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