31D2240583 CLIA NUMBER - OAKS INTEGRATED CARE OUTPATIENT AND IOP ADDICTIONS

Laboratory Demographics

  • CLIA Code: 31D2240583
  • Facility Name: OAKS INTEGRATED CARE OUTPATIENT AND IOP ADDICTIONS
  • Facility Address: 104 BLOOMFIELD AVENUE
    MONTCLAIR, NJ
    ZIP 07042
  • Facility Phone: 973 783-6655
  • Facility Type: Other - OUTPATIENT SUBSTANCE ABUS
  • Facility Type: Waiver
  • Lab Director: KACEY BATUSHANSKY
  • NPI Number: 1992316822
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 31D2240583
LAB Type Other - OUTPATIENT SUBSTANCE ABUS
Facility Name OAKS INTEGRATED CARE OUTPATIENT AND IOP ADDICTIONS
Street 104 BLOOMFIELD AVENUE
City MONTCLAIR
State NJ
ZIP 07042
Phone 973 783-6655
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/20/2025
Certificate Expiration Date 10/19/2027
Facility Type Other - OUTPATIENT SUBSTANCE ABUS
Lab Director KACEY BATUSHANSKY

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