31D2190596 CLIA NUMBER - PHOENIX BEHAVIORAL HEALTH

Laboratory Demographics

  • CLIA Code: 31D2190596
  • Facility Name: PHOENIX BEHAVIORAL HEALTH
  • Facility Address: 102 BROWNING LANE BUILDING C, SUITE 2
    CHERRY HILL, NJ
    ZIP 08003
  • Facility Phone: 609 323-1488
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: BILLIE JO STUTO
  • NPI Number: 1437764354
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 31D2190596
LAB Type Community Clinic
Facility Name PHOENIX BEHAVIORAL HEALTH
Street 102 BROWNING LANE BUILDING C, SUITE 2
City CHERRY HILL
State NJ
ZIP 08003
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 8/17/2024
Certificate Expiration Date 8/16/2026
Facility Type Community Clinic
Lab Director BILLIE JO STUTO

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