31D2311731 CLIA NUMBER - SUMMIT BHC NEW JERSEY, LLC DBA SEABROOK

Laboratory Demographics

  • CLIA Code: 31D2311731
  • Facility Name: SUMMIT BHC NEW JERSEY, LLC DBA SEABROOK
  • Facility Address: 1930 MARLTON PIKE EAST SUITE O-77
    CHERRY HILL, NJ
    ZIP 08003
  • Facility Phone: 856 455-7575
  • Facility Type: Other - OUTPT SUBSTANCE USE DIS
  • Facility Type: Waiver
  • Lab Director: DAVID RUSSO
  • NPI Number: 1174123582
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 31D2311731
LAB Type Other - OUTPT SUBSTANCE USE DIS
Facility Name SUMMIT BHC NEW JERSEY, LLC DBA SEABROOK
Street 1930 MARLTON PIKE EAST SUITE O-77
City CHERRY HILL
State NJ
ZIP 08003
Phone 856 455-7575
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/27/2024
Certificate Expiration Date 9/26/2026
Facility Type Other - OUTPT SUBSTANCE USE DIS
Lab Director DAVID RUSSO

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