31D2184968 CLIA NUMBER - THE SHORE DETOX LLC

Laboratory Demographics

  • CLIA Code: 31D2184968
  • Facility Name: THE SHORE DETOX LLC
  • Facility Address: 30 W JIMMIE LEEDS ROAD
    GALLOWAY TOWNSHIP, NJ
    ZIP 08205
  • Facility Phone: 609 202-5669
  • Facility Type: Other - DRUG: ALCOHOL DETOX
  • Facility Type: Waiver
  • Lab Director: CHRISTOPHER FERRY
  • NPI Number: 1891318077
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 31D2184968
LAB Type Other - DRUG: ALCOHOL DETOX
Facility Name THE SHORE DETOX LLC
Street 30 W JIMMIE LEEDS ROAD
City GALLOWAY TOWNSHIP
State NJ
ZIP 08205
Phone 609 202-5669
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/28/2024
Certificate Expiration Date 5/27/2026
Facility Type Other - DRUG: ALCOHOL DETOX
Lab Director CHRISTOPHER FERRY

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