31D2206726 CLIA NUMBER - CAMDEN TREATMENT ASSOCIATES, INC

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Laboratory Demographics

CLIA Number: 31D2206726

Facility Name: CAMDEN TREATMENT ASSOCIATES, INC

Facility Address:
508 ATLANTIC AVE
CAMDEN, NJ
ZIP 08104
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Facility Phone Number: 856 338-1811

Facility Type: Practitioner Other

Certificate Type: Waiver

NPI Number: 1083751630

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	31D2206726
LAB Type	Practitioner Other
Facility Name	CAMDEN TREATMENT ASSOCIATES, INC
Street	508 ATLANTIC AVE
City	CAMDEN
State	NJ
ZIP	08104
Phone	856 338-1811
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