10D2078642 CLIA NUMBER - HAVEN DETOX LLC, THE

Laboratory Demographics

  • CLIA Code: 10D2078642
  • Facility Name: HAVEN DETOX LLC, THE
  • Facility Address: 1325 N HAVERHILL RD
    WEST PALM BEACH, FL
    ZIP 33417
  • Facility Phone: 561 307-1212
  • Facility Type: Other - SUBSTANCE ABUSE TREATMENT
  • Facility Type: Waiver
  • Lab Director: ROSTISLAV IGNATOV
  • NPI Number: 1457762809
  • Taxonomy: 283Q00000X - Psychiatric Hospital

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CLIA Record

Field Name Field Value
CLIA Number 10D2078642
LAB Type Other - SUBSTANCE ABUSE TREATMENT
Facility Name HAVEN DETOX LLC, THE
Street 1325 N HAVERHILL RD
City WEST PALM BEACH
State FL
ZIP 33417
Phone 561 307-1212
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/2/2024
Certificate Expiration Date 6/1/2026
Facility Type Other - SUBSTANCE ABUSE TREATMENT
Lab Director ROSTISLAV IGNATOV

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