12D2095677 CLIA NUMBER - ADVANCED PSYCHIATRIC THERAPEUTICS LLC

Laboratory Demographics

  • CLIA Code: 12D2095677
  • Facility Name: ADVANCED PSYCHIATRIC THERAPEUTICS LLC
  • Facility Address: 1164 BISHOP ST STE 1611
    HONOLULU, HI
    ZIP 96813
  • Facility Phone: 808 664-3744
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JEREMY D. ROBERTS
  • NPI Number: 1285920595
  • Taxonomy: 2084P0800X - Psychiatry & Neurology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 12D2095677
LAB Type Physician Office
Facility Name ADVANCED PSYCHIATRIC THERAPEUTICS LLC
Street 1164 BISHOP ST STE 1611
City HONOLULU
State HI
ZIP 96813
Phone 808 664-3744
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/8/2025
Certificate Expiration Date 5/7/2027
Facility Type Physician Office
Lab Director DR. JEREMY D. ROBERTS

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: 9/29/2025