31D2271933 CLIA NUMBER - LAUREL LIGHT LLC DBA LAUREL HEALING CENTER

Laboratory Demographics

  • CLIA Code: 31D2271933
  • Facility Name: LAUREL LIGHT LLC DBA LAUREL HEALING CENTER
  • Facility Address: 800 BIRCHFIELD DRIVE SUITE 801
    MOUNT LAUREL, NJ
    ZIP 08054
  • Facility Phone: 703 955-0587
  • Facility Type: Other - OUTPT SUD TREATMENT FACIL
  • Facility Type: Waiver
  • Lab Director: MICHELLE M. RODGERS
  • NPI Number: 1609577311
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 31D2271933
LAB Type Other - OUTPT SUD TREATMENT FACIL
Facility Name LAUREL LIGHT LLC DBA LAUREL HEALING CENTER
Street 800 BIRCHFIELD DRIVE SUITE 801
City MOUNT LAUREL
State NJ
ZIP 08054
Phone 703 955-0587
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/10/2024
Certificate Expiration Date 11/9/2026
Facility Type Other - OUTPT SUD TREATMENT FACIL
Lab Director MICHELLE M. RODGERS

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