39D2276936 CLIA NUMBER - PROMONT RECOVERY LLC

Laboratory Demographics

  • CLIA Code: 39D2276936
  • Facility Name: PROMONT RECOVERY LLC
  • Facility Address: 501 STREET ROAD
    SOUTHAMPTON, PA
    ZIP 18966
  • Facility Phone: 929 386-8819
  • Facility Type: Other - OUTPATIENT D&A FACILITY
  • Facility Type: Waiver
  • Lab Director: DR. ELIZABETH A. DREW
  • NPI Number: 1972231124
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 39D2276936
LAB Type Other - OUTPATIENT D&A FACILITY
Facility Name PROMONT RECOVERY LLC
Street 501 STREET ROAD
City SOUTHAMPTON
State PA
ZIP 18966
Phone 929 386-8819
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/17/2025
Certificate Expiration Date 2/16/2027
Facility Type Other - OUTPATIENT D&A FACILITY
Lab Director DR. ELIZABETH A. DREW

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