10D2077550 CLIA NUMBER - BEACHCOMBER IOP, THE

Laboratory Demographics

  • CLIA Code: 10D2077550
  • Facility Name: BEACHCOMBER IOP, THE
  • Facility Address: 1001 W COMMERCIAL BLVD
    FORT LAUDERDALE, FL
    ZIP 33309
  • Facility Phone: 561 736-6501
  • Facility Type: Other - TREATMENT FACILITY
  • Facility Type: Waiver
  • Lab Director: DR. WILLIAM HASTON
  • NPI Number: 1508283326
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2077550
LAB Type Other - TREATMENT FACILITY
Facility Name BEACHCOMBER IOP, THE
Street 1001 W COMMERCIAL BLVD
City FORT LAUDERDALE
State FL
ZIP 33309
Phone 561 736-6501
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/9/2024
Certificate Expiration Date 5/8/2026
Facility Type Other - TREATMENT FACILITY
Lab Director DR. WILLIAM HASTON

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