10D0964142 CLIA NUMBER - BROWARD ADDICTION RECOVERY CENTER

Laboratory Demographics

CLIA Number: 10D0964142

Facility Name: BROWARD ADDICTION RECOVERY CENTER

Facility Address:
325 SW 28TH STREET
FORT LAUDERDALE, FL
ZIP 33315
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Facility Phone Number: 954 357-4860

Facility Type: Other - SUBSTANCE ABUSE TREATMENT

Certificate Type: Waiver

NPI Number: 1326171034

Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

CLIA Record

Field Name	Field Value
CLIA Number	10D0964142
LAB Type	Other - SUBSTANCE ABUSE TREATMENT
Facility Name	BROWARD ADDICTION RECOVERY CENTER
Street	325 SW 28TH STREET
City	FORT LAUDERDALE
State	FL
ZIP	33315
Phone	954 357-4860
CertificateType	4
CertificateEffectiveDate	2/14/2024
CertificateExpirationDate	2/13/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024