10D2077551 CLIA NUMBER - BEACHCOMBER REHABILITATION INC, THE

Laboratory Demographics

  • CLIA Code: 10D2077551
  • Facility Name: BEACHCOMBER REHABILITATION INC, THE
  • Facility Address: 4493 NORTH OCEAN BLVD
    DELRAY BEACH, FL
    ZIP 33483
  • Facility Phone: 561 734-1818
  • Facility Type: Other - SUBSTANCE ABUSE FACILITY
  • Facility Type: Waiver
  • Lab Director: DR. VLADISLAVA CULINA
  • NPI Number: 1639527609
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D2077551
LAB Type Other - SUBSTANCE ABUSE FACILITY
Facility Name BEACHCOMBER REHABILITATION INC, THE
Street 4493 NORTH OCEAN BLVD
City DELRAY BEACH
State FL
ZIP 33483
Phone 561 734-1818
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/21/2023
Certificate Expiration Date 6/20/2025
Facility Type Other - SUBSTANCE ABUSE FACILITY
Lab Director DR. VLADISLAVA CULINA

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This page was last updated on: 3/20/2025