34D2064754 CLIA NUMBER - NEW DIMENSION GROUP, LLC

Laboratory Demographics

  • CLIA Code: 34D2064754
  • Facility Name: NEW DIMENSION GROUP, LLC
  • Facility Address: 416 WEST RIDGE STREET
    ROSE HILL, NC
    ZIP 28458
  • Facility Phone: 910 289-2610
  • Facility Type: Other - BEHAVIORAL HLTHCRE AGENCY
  • Facility Type: Waiver
  • Lab Director: CONSTANCE OLATIDOYE
  • NPI Number: 1700031788
  • Taxonomy: 2084P0800X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 34D2064754
LAB Type Other - BEHAVIORAL HLTHCRE AGENCY
Facility Name NEW DIMENSION GROUP, LLC
Street 416 WEST RIDGE STREET
City ROSE HILL
State NC
ZIP 28458
Phone 910 289-2610
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/27/2025
Certificate Expiration Date 8/26/2027
Facility Type Other - BEHAVIORAL HLTHCRE AGENCY
Lab Director CONSTANCE OLATIDOYE

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