31D2226195 CLIA NUMBER - CHERRY HILL OUTPATIENT SUBSTANCE USE TREATMENT SVCS

Laboratory Demographics

  • CLIA Code: 31D2226195
  • Facility Name: CHERRY HILL OUTPATIENT SUBSTANCE USE TREATMENT SVCS
  • Facility Address: 1409 KINGS HIGHWAY
    CHERRY HILL, NJ
    ZIP 08034
  • Facility Phone: 856 482-8747
  • Facility Type: Other - OUTPATIENT SUBSTANCE USE
  • Facility Type: Waiver
  • Lab Director: MICHAEL DAMICO
  • NPI Number: 1184728214
  • Taxonomy: 207L00000X - Anesthesiology

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CLIA Record

Field Name Field Value
CLIA Number 31D2226195
LAB Type Other - OUTPATIENT SUBSTANCE USE
Facility Name CHERRY HILL OUTPATIENT SUBSTANCE USE TREATMENT SVCS
Street 1409 KINGS HIGHWAY
City CHERRY HILL
State NJ
ZIP 08034
Phone 856 482-8747
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/27/2025
Certificate Expiration Date 5/26/2027
Facility Type Other - OUTPATIENT SUBSTANCE USE
Lab Director MICHAEL DAMICO

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