10D2032849 CLIA NUMBER - ADDICTION SOLUTIONS BY THE SEA

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Laboratory Demographics

CLIA Number: 10D2032849

Facility Name: ADDICTION SOLUTIONS BY THE SEA

Facility Address:
150 SW 12TH AVE STE 360
POMPANO BEACH, FL
ZIP 33069
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Facility Phone Number: 954 627-6157

Facility Type: Other - TREATMENT

Certificate Type: Waiver

NPI Number: 1669928917

Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

CLIA Record

Field Name	Field Value
CLIA Number	10D2032849
LAB Type	Other - TREATMENT
Facility Name	ADDICTION SOLUTIONS BY THE SEA
Street	150 SW 12TH AVE STE 360
City	POMPANO BEACH
State	FL
ZIP	33069
Phone	954 627-6157
CertificateType	4
CertificateEffectiveDate	11/17/2023
CertificateExpirationDate	11/16/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024