31D2314604 CLIA NUMBER - MODERN PSYCHIATRY

Laboratory Demographics

  • CLIA Code: 31D2314604
  • Facility Name: MODERN PSYCHIATRY
  • Facility Address: 20 HOSPITAL DRIVE SUITE 8
    TOMS RIVER, NJ
    ZIP 08755
  • Facility Phone: 732 831-6094
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: FELIX GELLER
  • NPI Number: 1750129490
  • Taxonomy: 2084A0401X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 31D2314604
LAB Type Physician Office
Facility Name MODERN PSYCHIATRY
Street 20 HOSPITAL DRIVE SUITE 8
City TOMS RIVER
State NJ
ZIP 08755
Phone 732 831-6094
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/22/2024
Certificate Expiration Date 11/21/2026
Facility Type Physician Office
Lab Director FELIX GELLER

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