31D2325081 CLIA NUMBER - J & S TREATMENT LLC DBA TIDAL SHIFT COUNSELING

Laboratory Demographics

  • CLIA Code: 31D2325081
  • Facility Name: J & S TREATMENT LLC DBA TIDAL SHIFT COUNSELING
  • Facility Address: 207 SHORE ROAD
    SOMERS POINT, NJ
    ZIP 08244
  • Facility Phone: 609 709-0244
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: IAN KOCH
  • NPI Number: 1205718129
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 31D2325081
LAB Type Ancillary Testing Site in Health Care Center
Facility Name J & S TREATMENT LLC DBA TIDAL SHIFT COUNSELING
Street 207 SHORE ROAD
City SOMERS POINT
State NJ
ZIP 08244
Phone 609 709-0244
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/6/2025
Certificate Expiration Date 6/5/2027
Facility Type Ancillary Testing Site in Health Care Center
Lab Director IAN KOCH

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