10D1105016 CLIA NUMBER - AMBROSIA OF THE PALM BEACHES DBA AMBROSIA TREATMENT CENTER

Laboratory Demographics

  • CLIA Code: 10D1105016
  • Facility Name: AMBROSIA OF THE PALM BEACHES DBA AMBROSIA TREATMENT CENTER
  • Facility Address: 2626 LAKE DRIVE
    SINGER ISLAND, FL
    ZIP 33404
  • Facility Phone: 561 721-8800
  • Facility Type: Other - SUBSTANCE ABUSE CENTER
  • Facility Type: Waiver
  • Lab Director: DANESH ALAM
  • NPI Number: 1114313392
  • Taxonomy: 101YA0400X - Counselor

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CLIA Record

Field Name Field Value
CLIA Number 10D1105016
LAB Type Other - SUBSTANCE ABUSE CENTER
Facility Name AMBROSIA OF THE PALM BEACHES DBA AMBROSIA TREATMENT CENTER
Street 2626 LAKE DRIVE
City SINGER ISLAND
State FL
ZIP 33404
Phone 561 721-8800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/15/2025
Certificate Expiration Date 9/14/2027
Facility Type Other - SUBSTANCE ABUSE CENTER
Lab Director DANESH ALAM

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