31D2163483 CLIA NUMBER - LEGACY TREATMENT SERVICES

Laboratory Demographics

  • CLIA Code: 31D2163483
  • Facility Name: LEGACY TREATMENT SERVICES
  • Facility Address: 330 SALEM WOODSTOWN ROAD
    MANNINGTON, NJ
    ZIP 08079
  • Facility Phone: (609) 288-3118
  • Facility Type: Other - SUB US DISORDER TX
  • Facility Type: Waiver
  • Lab Director: AFMZ HAQUE
  • NPI Number: 1023568524
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 31D2163483
LAB Type Other - SUB US DISORDER TX
Facility Name LEGACY TREATMENT SERVICES
Street 330 SALEM WOODSTOWN ROAD
City MANNINGTON
State NJ
ZIP 08079
Phone 6092883118
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/14/2025
Certificate Expiration Date 3/13/2027
Facility Type Other - SUB US DISORDER TX
Lab Director AFMZ HAQUE

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