31D2293827 CLIA NUMBER - SNJ RECOVERY CENTER LLC

Laboratory Demographics

  • CLIA Code: 31D2293827
  • Facility Name: SNJ RECOVERY CENTER LLC
  • Facility Address: 204 GROVE AVE SUITE C
    THOROFARE, NJ
    ZIP 08086
  • Facility Phone: 609 509-9533
  • Facility Type: Other - SUBSTANCE ABUSE FACILITY
  • Facility Type: Waiver
  • Lab Director: JOSEPH COYLE
  • NPI Number: 1265295463
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 31D2293827
LAB Type Other - SUBSTANCE ABUSE FACILITY
Facility Name SNJ RECOVERY CENTER LLC
Street 204 GROVE AVE SUITE C
City THOROFARE
State NJ
ZIP 08086
Phone 609 509-9533
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/15/2023
Certificate Expiration Date 11/14/2025
Facility Type Other - SUBSTANCE ABUSE FACILITY
Lab Director JOSEPH COYLE

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This page was last updated on: 3/20/2025