10D1051099 CLIA NUMBER - SUNRISE DETOXIFICATION CENTER LLC

Laboratory Demographics

  • CLIA Code: 10D1051099
  • Facility Name: SUNRISE DETOXIFICATION CENTER LLC
  • Facility Address: 3185 BOUTWELL RD
    LAKE WORTH, FL
    ZIP 33461
  • Facility Phone: 561 533-0074
  • Facility Type: Other - DETOX CENTER
  • Facility Type: Waiver
  • Lab Director: JASON MCALEVY
  • NPI Number: 1154484103
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D1051099
LAB Type Other - DETOX CENTER
Facility Name SUNRISE DETOXIFICATION CENTER LLC
Street 3185 BOUTWELL RD
City LAKE WORTH
State FL
ZIP 33461
Phone 561 533-0074
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/22/2024
Certificate Expiration Date 2/21/2026
Facility Type Other - DETOX CENTER
Lab Director JASON MCALEVY

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