10D2004869 CLIA NUMBER - HAZELDEN FLORIDA

Laboratory Demographics

  • CLIA Code: 10D2004869
  • Facility Name: HAZELDEN FLORIDA
  • Facility Address: 950 6TH AVE N
    NAPLES, FL
    ZIP 34102
  • Facility Phone: 239 659-2340
  • Facility Type: Other - SUCSTANCE ABUSE PROGRAM
  • Facility Type: Waiver
  • Lab Director: AHMED EID
  • NPI Number: 1386972719
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D2004869
LAB Type Other - SUCSTANCE ABUSE PROGRAM
Facility Name HAZELDEN FLORIDA
Street 950 6TH AVE N
City NAPLES
State FL
ZIP 34102
Phone 239 659-2340
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/15/2024
Certificate Expiration Date 3/14/2026
Facility Type Other - SUCSTANCE ABUSE PROGRAM
Lab Director AHMED EID

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