31D2229415 CLIA NUMBER - MOVING MOUNTAINS RECOVERY, LLC

Laboratory Demographics

  • CLIA Code: 31D2229415
  • Facility Name: MOVING MOUNTAINS RECOVERY, LLC
  • Facility Address: 2 EMERY AVENUE
    RANDOLPH, NJ
    ZIP 07869
  • Facility Phone: 973 397-5055
  • Facility Type: Other - SUBSTANCE ABUSE FACILITY
  • Facility Type: Waiver
  • Lab Director: JEFFEREY THOMAS
  • NPI Number: 1881333508
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 31D2229415
LAB Type Other - SUBSTANCE ABUSE FACILITY
Facility Name MOVING MOUNTAINS RECOVERY, LLC
Street 2 EMERY AVENUE
City RANDOLPH
State NJ
ZIP 07869
Phone 973 397-5055
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/12/2023
Certificate Expiration Date 7/11/2025
Facility Type Other - SUBSTANCE ABUSE FACILITY
Lab Director JEFFEREY THOMAS

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This page was last updated on: 6/4/2025