31D2170805 CLIA NUMBER - ABBY ROAD PSYCHIATRIC SERVICES, LLC

Laboratory Demographics

  • CLIA Code: 31D2170805
  • Facility Name: ABBY ROAD PSYCHIATRIC SERVICES, LLC
  • Facility Address: 7 HENDRICKSON AVE
    RED BANK, NJ
    ZIP 07701
  • Facility Phone: 908 433-7263
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: ANTHONY DIMURA
  • NPI Number: 1053807305
  • Taxonomy: 261QM0801X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 31D2170805
LAB Type Practitioner Other
Facility Name ABBY ROAD PSYCHIATRIC SERVICES, LLC
Street 7 HENDRICKSON AVE
City RED BANK
State NJ
ZIP 07701
Phone 908 433-7263
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/20/2025
Certificate Expiration Date 8/19/2027
Facility Type Practitioner Other
Lab Director ANTHONY DIMURA

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