31D2176021 CLIA NUMBER - CAPSTONE BEHAVIORAL HEALTH

Laboratory Demographics

  • CLIA Code: 31D2176021
  • Facility Name: CAPSTONE BEHAVIORAL HEALTH
  • Facility Address: 102 CENTRE BOULEVARD, SUITE E
    MARLTON, NJ
    ZIP 08053
  • Facility Phone: 856 462-6400
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: REGINA GRABARINO
  • NPI Number: 1003379231
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 31D2176021
LAB Type Practitioner Other
Facility Name CAPSTONE BEHAVIORAL HEALTH
Street 102 CENTRE BOULEVARD, SUITE E
City MARLTON
State NJ
ZIP 08053
Phone 856 462-6400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/6/2023
Certificate Expiration Date 12/5/2025
Facility Type Practitioner Other
Lab Director REGINA GRABARINO

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