44D2251072 CLIA NUMBER - AFFECT THERAPEUTICS

Laboratory Demographics

  • CLIA Code: 44D2251072
  • Facility Name: AFFECT THERAPEUTICS
  • Facility Address: 420 W MORRIS BLVD, SUITE 260
    MORRISTOWN, TN
    ZIP 37813
  • Facility Phone: 951 691-9101
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Waiver
  • Lab Director: ELIZABETH A. GOUGH
  • NPI Number: 1740071646
  • Taxonomy: 261QM0850X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 44D2251072
LAB Type Comp. Outpatient Rehab Facility
Facility Name AFFECT THERAPEUTICS
Street 420 W MORRIS BLVD, SUITE 260
City MORRISTOWN
State TN
ZIP 37813
Phone 951 691-9101
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/1/2024
Certificate Expiration Date 1/31/2026
Facility Type Comp. Outpatient Rehab Facility
Lab Director ELIZABETH A. GOUGH

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