31D2208950 CLIA NUMBER - NEW DAWN WELLNESS AND REHAB

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Laboratory Demographics

CLIA Number: 31D2208950

Facility Name: NEW DAWN WELLNESS AND REHAB

Facility Address:
402 SHEPPARD ROAD SUITE 300
VOORHEES, NJ
ZIP 08043
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Facility Phone Number: 818 639-3296

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1780249987

Taxonomy: 207RA0401X - Internal Medicine
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.

CLIA Record

Field Name	Field Value
CLIA Number	31D2208950
LAB Type	Physician Office
Facility Name	NEW DAWN WELLNESS AND REHAB
Street	402 SHEPPARD ROAD SUITE 300
City	VOORHEES
State	NJ
ZIP	08043
Phone	818 639-3296
CertificateType	4
CertificateEffectiveDate	1/10/2023
CertificateExpirationDate	1/9/2025
FacilityType	Waiver

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