39D2228022 CLIA NUMBER - FOSTER HILL WELLNESS DBA MALIBU WELLNESS RANCH

Laboratory Demographics

  • CLIA Code: 39D2228022
  • Facility Name: FOSTER HILL WELLNESS DBA MALIBU WELLNESS RANCH
  • Facility Address: 351 FOSTER HILL ROAD
    MILFORD, PA
    ZIP 18337
  • Facility Phone: 570 296-7281
  • Facility Type: Other - RESIDENTIAL REHAB FAC
  • Facility Type: Waiver
  • Lab Director: DR. JEFFREY A. YOCUM
  • NPI Number: 1437713591
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 39D2228022
LAB Type Other - RESIDENTIAL REHAB FAC
Facility Name FOSTER HILL WELLNESS DBA MALIBU WELLNESS RANCH
Street 351 FOSTER HILL ROAD
City MILFORD
State PA
ZIP 18337
Phone 570 296-7281
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/21/2025
Certificate Expiration Date 6/20/2027
Facility Type Other - RESIDENTIAL REHAB FAC
Lab Director DR. JEFFREY A. YOCUM

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 6/4/2025