10D2073558 CLIA NUMBER - LIGHTHOUSE RECOVERY INSTITUTE

Laboratory Demographics

  • CLIA Code: 10D2073558
  • Facility Name: LIGHTHOUSE RECOVERY INSTITUTE
  • Facility Address: 1609 S CONGRESS AVE
    BOYNTON BEACH, FL
    ZIP 33426
  • Facility Phone: 609 238-4467
  • Facility Type: Other - IOP TREATMENT CENTER
  • Facility Type: Waiver
  • Lab Director: JEFFREY BISHOP
  • NPI Number: 1619305562
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2073558
LAB Type Other - IOP TREATMENT CENTER
Facility Name LIGHTHOUSE RECOVERY INSTITUTE
Street 1609 S CONGRESS AVE
City BOYNTON BEACH
State FL
ZIP 33426
Phone 609 238-4467
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/20/2024
Certificate Expiration Date 2/19/2026
Facility Type Other - IOP TREATMENT CENTER
Lab Director JEFFREY BISHOP

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This page was last updated on: 6/4/2025