31D2209408 CLIA NUMBER - SUBURBAN HEALTH CLINIC

Laboratory Demographics

  • CLIA Code: 31D2209408
  • Facility Name: SUBURBAN HEALTH CLINIC
  • Facility Address: 43 PROGRESS STREET
    UNION, NJ
    ZIP 07083
  • Facility Phone: (908) 258-8765
  • Facility Type: Other - OPIATE TREATMENT PROGRAM
  • Facility Type: Waiver
  • Lab Director: BRAD R. SKOKOWSKI
  • NPI Number: 1407723034
  • Taxonomy: 103TC0700X - Psychologist

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CLIA Record

Field Name Field Value
CLIA Number 31D2209408
LAB Type Other - OPIATE TREATMENT PROGRAM
Facility Name SUBURBAN HEALTH CLINIC
Street 43 PROGRESS STREET
City UNION
State NJ
ZIP 07083
Phone 9082588765
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/13/2025
Certificate Expiration Date 1/12/2027
Facility Type Other - OPIATE TREATMENT PROGRAM
Lab Director BRAD R. SKOKOWSKI

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This page was last updated on: 5/15/2026