10D1085935 CLIA NUMBER - COVENANT HOUSE FLORIDA INC

Laboratory Demographics

  • CLIA Code: 10D1085935
  • Facility Name: COVENANT HOUSE FLORIDA INC
  • Facility Address: 733 BREAKERS AVE
    FORT LAUDERDALE, FL
    ZIP 33304
  • Facility Phone: 954 568-7955
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: STEPHEN G. LARKIN
  • NPI Number: 1538333778
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D1085935
LAB Type Other
Facility Name COVENANT HOUSE FLORIDA INC
Street 733 BREAKERS AVE
City FORT LAUDERDALE
State FL
ZIP 33304
Phone 954 568-7955
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/1/2024
Certificate Expiration Date 6/30/2026
Facility Type Other
Lab Director STEPHEN G. LARKIN

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