10D2013651 CLIA NUMBER - CENTRAL FLORIDA TREATMENT CENTER COCOA

Laboratory Demographics

  • CLIA Code: 10D2013651
  • Facility Name: CENTRAL FLORIDA TREATMENT CENTER COCOA
  • Facility Address: 7 N COCOA BLVD
    COCOA, FL
    ZIP 32922
  • Facility Phone: 321 631-4578
  • Facility Type: Other - OPIOID TREATMENT PROVIDER
  • Facility Type: Waiver
  • Lab Director: MIKE STOKES
  • NPI Number: 1316142334
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 10D2013651
LAB Type Other - OPIOID TREATMENT PROVIDER
Facility Name CENTRAL FLORIDA TREATMENT CENTER COCOA
Street 7 N COCOA BLVD
City COCOA
State FL
ZIP 32922
Phone 321 631-4578
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/17/2025
Certificate Expiration Date 1/16/2027
Facility Type Other - OPIOID TREATMENT PROVIDER
Lab Director MIKE STOKES

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