10D0934517 CLIA NUMBER - HENDERSON BEHAVIORAL HEALTH CSU

Laboratory Demographics

  • CLIA Code: 10D0934517
  • Facility Name: HENDERSON BEHAVIORAL HEALTH CSU
  • Facility Address: 330 SW 27TH AVENUE
    FORT LAUDERDALE, FL
    ZIP 33312
  • Facility Phone: 954 739-8066
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: MARIA A. GORELICK
  • NPI Number: 1962074005
  • Taxonomy: 283Q00000X - Psychiatric Hospital

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CLIA Record

Field Name Field Value
CLIA Number 10D0934517
LAB Type Other
Facility Name HENDERSON BEHAVIORAL HEALTH CSU
Street 330 SW 27TH AVENUE
City FORT LAUDERDALE
State FL
ZIP 33312
Phone 954 739-8066
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/7/2025
Certificate Expiration Date 10/6/2027
Facility Type Other
Lab Director MARIA A. GORELICK

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