31D2285645 CLIA NUMBER - GREENBRANCH RECOVERY LLC

Laboratory Demographics

  • CLIA Code: 31D2285645
  • Facility Name: GREENBRANCH RECOVERY LLC
  • Facility Address: 205 W PARKWAY DRIVE
    EGG HARBOR TWP, NJ
    ZIP 08234
  • Facility Phone: 609 645-2500
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Waiver
  • Lab Director: TZIVYA KOWALT
  • NPI Number: 1902310782
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 31D2285645
LAB Type Comp. Outpatient Rehab Facility
Facility Name GREENBRANCH RECOVERY LLC
Street 205 W PARKWAY DRIVE
City EGG HARBOR TWP
State NJ
ZIP 08234
Phone 609 645-2500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/17/2025
Certificate Expiration Date 7/16/2027
Facility Type Comp. Outpatient Rehab Facility
Lab Director TZIVYA KOWALT

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