31D2266960 CLIA NUMBER - MONTE NIDO NEW JERSEY, LLC D/B/A CLEMENTINE CHERRY HILL

Laboratory Demographics

  • CLIA Code: 31D2266960
  • Facility Name: MONTE NIDO NEW JERSEY, LLC D/B/A CLEMENTINE CHERRY HILL
  • Facility Address: 120 MUNN LANE
    CHERRY HILL, NJ
    ZIP 08034
  • Facility Phone: 856 626-5100
  • Facility Type: Other - RESIDENTIAL MENTAL HEALTH
  • Facility Type: Waiver
  • Lab Director: MOLLY M. PERLMAN
  • NPI Number: 1902529076
  • Taxonomy: 261QM0855X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 31D2266960
LAB Type Other - RESIDENTIAL MENTAL HEALTH
Facility Name MONTE NIDO NEW JERSEY, LLC D/B/A CLEMENTINE CHERRY HILL
Street 120 MUNN LANE
City CHERRY HILL
State NJ
ZIP 08034
Phone 856 626-5100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/18/2024
Certificate Expiration Date 8/17/2026
Facility Type Other - RESIDENTIAL MENTAL HEALTH
Lab Director MOLLY M. PERLMAN

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