31D2264414 CLIA NUMBER - CREATIVE CHANGE COUNSELING

Laboratory Demographics

  • CLIA Code: 31D2264414
  • Facility Name: CREATIVE CHANGE COUNSELING
  • Facility Address: 3525 QUAKERBRIDGE ROAD, SUITE 903
    HAMILTON, NJ
    ZIP 08619
  • Facility Phone: 609 668-4719
  • Facility Type: Other - SUBSTANCE USE DISORDER F
  • Facility Type: Waiver
  • Lab Director: DOCTOR BERTEE THOMAS
  • NPI Number: 1841813722
  • Taxonomy: 261QM0855X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 31D2264414
LAB Type Other - SUBSTANCE USE DISORDER F
Facility Name CREATIVE CHANGE COUNSELING
Street 3525 QUAKERBRIDGE ROAD, SUITE 903
City HAMILTON
State NJ
ZIP 08619
Phone 609 668-4719
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/14/2024
Certificate Expiration Date 7/13/2026
Facility Type Other - SUBSTANCE USE DISORDER F
Lab Director DOCTOR BERTEE THOMAS

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