31D2190593 CLIA NUMBER - 276 BAKERS DETOX, LLC DBA LEVEL UP TREATMENT LAWRENCEVILLE

Laboratory Demographics

  • CLIA Code: 31D2190593
  • Facility Name: 276 BAKERS DETOX, LLC DBA LEVEL UP TREATMENT LAWRENCEVILLE
  • Facility Address: 276 BAKERS BASIN ROAD
    LAWRENCEVILLE, NJ
    ZIP 08648
  • Facility Phone: 561 222-1719
  • Facility Type: Other - RESIDENTIAL TREATMENT FAC
  • Facility Type: Waiver
  • Lab Director: EVELYN ROSA
  • NPI Number: 1952068132
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 31D2190593
LAB Type Other - RESIDENTIAL TREATMENT FAC
Facility Name 276 BAKERS DETOX, LLC DBA LEVEL UP TREATMENT LAWRENCEVILLE
Street 276 BAKERS BASIN ROAD
City LAWRENCEVILLE
State NJ
ZIP 08648
Phone 561 222-1719
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/17/2024
Certificate Expiration Date 8/16/2026
Facility Type Other - RESIDENTIAL TREATMENT FAC
Lab Director EVELYN ROSA

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