31D2204401 CLIA NUMBER - HACKETTSTOWN BEHAVIORAL HEALTH

Laboratory Demographics

  • CLIA Code: 31D2204401
  • Facility Name: HACKETTSTOWN BEHAVIORAL HEALTH
  • Facility Address: 653 WILLOW GROVE ST
    HACKETTSTOWN, NJ
    ZIP 07840
  • Facility Phone: 908 441-1557
  • Facility Type: Other - SUBSTANCE USE PROGRAM/MAT
  • Facility Type: Waiver
  • Lab Director: TAMARA LIPSHIE
  • NPI Number: 1316211915
  • Taxonomy: 2080A0000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 31D2204401
LAB Type Other - SUBSTANCE USE PROGRAM/MAT
Facility Name HACKETTSTOWN BEHAVIORAL HEALTH
Street 653 WILLOW GROVE ST
City HACKETTSTOWN
State NJ
ZIP 07840
Phone 908 441-1557
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/30/2024
Certificate Expiration Date 12/29/2026
Facility Type Other - SUBSTANCE USE PROGRAM/MAT
Lab Director TAMARA LIPSHIE

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