31D2190320 CLIA NUMBER - PHOENIX BEHAVIORAL HEALTH

Laboratory Demographics

  • CLIA Code: 31D2190320
  • Facility Name: PHOENIX BEHAVIORAL HEALTH
  • Facility Address: 1014 WHITEHEAD ROAD EXT
    EWING, NJ
    ZIP 08638
  • Facility Phone: 609 323-1488
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: BILLIE-JO STUTO
  • NPI Number: 1144787078
  • Taxonomy: 261QM0850X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 31D2190320
LAB Type Community Clinic
Facility Name PHOENIX BEHAVIORAL HEALTH
Street 1014 WHITEHEAD ROAD EXT
City EWING
State NJ
ZIP 08638
Phone 609 323-1488
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/12/2024
Certificate Expiration Date 8/11/2026
Facility Type Community Clinic
Lab Director BILLIE-JO STUTO

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