31D2194324 CLIA NUMBER - GARDEN STATE DETOX LLC

Laboratory Demographics

  • CLIA Code: 31D2194324
  • Facility Name: GARDEN STATE DETOX LLC
  • Facility Address: 75 SPARTA AVENUE
    NEWTON, NJ
    ZIP 07860
  • Facility Phone: 973 512-3305
  • Facility Type: Other - SUBSTANCE USE FACILITY
  • Facility Type: Waiver
  • Lab Director: MICHAEL R. GANON
  • NPI Number: 1023687563
  • Taxonomy: 261QR0405X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 31D2194324
LAB Type Other - SUBSTANCE USE FACILITY
Facility Name GARDEN STATE DETOX LLC
Street 75 SPARTA AVENUE
City NEWTON
State NJ
ZIP 07860
Phone 973 512-3305
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/30/2024
Certificate Expiration Date 9/29/2026
Facility Type Other - SUBSTANCE USE FACILITY
Lab Director MICHAEL R. GANON

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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