31D2206725 CLIA NUMBER - URBAN TREATMENT ASSOCIATES, INC

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Laboratory Demographics

CLIA Number: 31D2206725

Facility Name: URBAN TREATMENT ASSOCIATES, INC

Facility Address:
808 MARKET ST
CAMDEN, NJ
ZIP 08102
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Facility Phone Number: 856 238-7655

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1053640797

Taxonomy: 261QM2800X - Clinic/Center
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.

CLIA Record

Field Name	Field Value
CLIA Number	31D2206725
LAB Type	Physician Office
Facility Name	URBAN TREATMENT ASSOCIATES, INC
Street	808 MARKET ST
City	CAMDEN
State	NJ
ZIP	08102
Phone	856 238-7655
CertificateType	4
CertificateEffectiveDate	12/22/2022
CertificateExpirationDate	12/21/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024