10D2080453 CLIA NUMBER - AISOL LLC

Laboratory Demographics

  • CLIA Code: 10D2080453
  • Facility Name: AISOL LLC
  • Facility Address: 4875 PARK RIDGE BLVD SUITE 103
    BOYNTON BEACH, FL
    ZIP 33426
  • Facility Phone: 561 345-1086
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: LUKE PECK
  • NPI Number: 1316319189
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D2080453
LAB Type Independent
Facility Name AISOL LLC
Street 4875 PARK RIDGE BLVD SUITE 103
City BOYNTON BEACH
State FL
ZIP 33426
Phone 561 345-1086
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/8/2024
Certificate Expiration Date 7/7/2026
Facility Type Independent
Lab Director LUKE PECK

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