10D2033865 CLIA NUMBER - INTERNATIONAL ASSOC OF TRAUMA & ADDICTION COUNSELORS INC DBA IATAC

Laboratory Demographics

  • CLIA Code: 10D2033865
  • Facility Name: INTERNATIONAL ASSOC OF TRAUMA & ADDICTION COUNSELORS INC DBA IATAC
  • Facility Address: 1030 S STATE ROAD 7
    PLANTATION, FL
    ZIP 33317
  • Facility Phone: 954 999-0818
  • Facility Type: Other - IDP
  • Facility Type: Waiver
  • Lab Director: JANINA LEWIS
  • NPI Number: 1528290590
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2033865
LAB Type Other - IDP
Facility Name INTERNATIONAL ASSOC OF TRAUMA & ADDICTION COUNSELORS INC DBA IATAC
Street 1030 S STATE ROAD 7
City PLANTATION
State FL
ZIP 33317
Phone 954 999-0818
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/12/2023
Certificate Expiration Date 12/11/2025
Facility Type Other - IDP
Lab Director JANINA LEWIS

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