31D2179028 CLIA NUMBER - PREFERRED BEHAVIORAL HEALTH GROUP

Laboratory Demographics

  • CLIA Code: 31D2179028
  • Facility Name: PREFERRED BEHAVIORAL HEALTH GROUP
  • Facility Address: 700 AIRPORT ROAD
    LAKEWOOD, NJ
    ZIP 08701
  • Facility Phone: 732 367-4700
  • Facility Type: Other - COMMUNITY BEHAVIORAL HEAL
  • Facility Type: Waiver
  • Lab Director: TARA CHALAKANI
  • NPI Number: 1467519728
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 31D2179028
LAB Type Other - COMMUNITY BEHAVIORAL HEAL
Facility Name PREFERRED BEHAVIORAL HEALTH GROUP
Street 700 AIRPORT ROAD
City LAKEWOOD
State NJ
ZIP 08701
Phone 732 367-4700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/14/2024
Certificate Expiration Date 2/13/2026
Facility Type Other - COMMUNITY BEHAVIORAL HEAL
Lab Director TARA CHALAKANI

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This page was last updated on: 3/20/2025