10D2009587 CLIA NUMBER - CENTRAL FLORIDA TREATMENT CENTER LAKE WORTH

Laboratory Demographics

  • CLIA Code: 10D2009587
  • Facility Name: CENTRAL FLORIDA TREATMENT CENTER LAKE WORTH
  • Facility Address: 3155 LAKE WORTH RD STE 2
    LAKE WORTH, FL
    ZIP 33461
  • Facility Phone: 561 439-8440
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: ROGER BLAKE
  • NPI Number: 1508050147
  • Taxonomy: 251S00000X - Community/Behavioral Health

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2009587
LAB Type Community Clinic
Facility Name CENTRAL FLORIDA TREATMENT CENTER LAKE WORTH
Street 3155 LAKE WORTH RD STE 2
City LAKE WORTH
State FL
ZIP 33461
Phone 561 439-8440
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/8/2024
Certificate Expiration Date 7/7/2026
Facility Type Community Clinic
Lab Director ROGER BLAKE

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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