31D2244941 CLIA NUMBER - FIRST CHOICE RECOVERY CENTERS

Laboratory Demographics

  • CLIA Code: 31D2244941
  • Facility Name: FIRST CHOICE RECOVERY CENTERS
  • Facility Address: 61 N MAPLE AVENUE, SUITE 302
    RIDGEWOOD, NJ
    ZIP 07450
  • Facility Phone: 201 956-9483
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MANOJ PUTHIYATHU
  • NPI Number: 1962071910
  • Taxonomy: 103TA0400X - Psychologist

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CLIA Record

Field Name Field Value
CLIA Number 31D2244941
LAB Type Physician Office
Facility Name FIRST CHOICE RECOVERY CENTERS
Street 61 N MAPLE AVENUE, SUITE 302
City RIDGEWOOD
State NJ
ZIP 07450
Phone 201 956-9483
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/7/2023
Certificate Expiration Date 12/6/2025
Facility Type Physician Office
Lab Director MANOJ PUTHIYATHU

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