31D2163259 CLIA NUMBER - PINNACLE TREATMENT CENTERS NJ-III, LLC SOMERDALE TREATMENT SERVICES

Laboratory Demographics

  • CLIA Code: 31D2163259
  • Facility Name: PINNACLE TREATMENT CENTERS NJ-III, LLC SOMERDALE TREATMENT SERVICES
  • Facility Address: 1200 SOUTH WHITE HORSE PIKE SUITES 8, 9, 10 & 11
    SOMERDALE, NJ
    ZIP 08083
  • Facility Phone: 856 679-2500
  • Facility Type: Other - ALCOHOL & DRUG TREATMENT
  • Facility Type: Waiver
  • Lab Director: MICHAEL S. DESHIELDS
  • NPI Number: 1427602960
  • Taxonomy: 261QM2800X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 31D2163259
LAB Type Other - ALCOHOL & DRUG TREATMENT
Facility Name PINNACLE TREATMENT CENTERS NJ-III, LLC SOMERDALE TREATMENT SERVICES
Street 1200 SOUTH WHITE HORSE PIKE SUITES 8, 9, 10 & 11
City SOMERDALE
State NJ
ZIP 08083
Phone 856 679-2500
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 - ALCOHOL & DRUG TREATMENT
Lab Director MICHAEL S. DESHIELDS

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