10D0968526 CLIA NUMBER - CRESTHAVEN

Laboratory Demographics

  • CLIA Code: 10D0968526
  • Facility Name: CRESTHAVEN
  • Facility Address: 5100 CRESTHAVEN BLVD
    WEST PALM BEACH, FL
    ZIP 33415
  • Facility Phone: 561 964-2828
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: HAROLD DEAN
  • NPI Number: 1154556157
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 10D0968526
LAB Type Assisted Living Facility
Facility Name CRESTHAVEN
Street 5100 CRESTHAVEN BLVD
City WEST PALM BEACH
State FL
ZIP 33415
Phone 561 964-2828
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/14/2023
Certificate Expiration Date 12/13/2025
Facility Type Assisted Living Facility
Lab Director HAROLD DEAN

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