33D2225004 CLIA NUMBER - JULIA DYCKMAN ANDRUS MEMORIAL DBA ANDRUS

Laboratory Demographics

  • CLIA Code: 33D2225004
  • Facility Name: JULIA DYCKMAN ANDRUS MEMORIAL DBA ANDRUS
  • Facility Address: 1156 NORTH BROADWAY
    YONKERS, NY
    ZIP 10701
  • Facility Phone: 914 965-3700
  • Facility Type: Other - RES TREATMENT CENTER
  • Facility Type: Waiver
  • Lab Director: DR. AMANDA M. JACOBS
  • NPI Number: 1285628552
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 33D2225004
LAB Type Other - RES TREATMENT CENTER
Facility Name JULIA DYCKMAN ANDRUS MEMORIAL DBA ANDRUS
Street 1156 NORTH BROADWAY
City YONKERS
State NY
ZIP 10701
Phone 914 965-3700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/18/2021
Certificate Expiration Date 3/26/2027
Facility Type Other - RES TREATMENT CENTER
Lab Director DR. AMANDA M. JACOBS

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