10D2080453 CLIA NUMBER - AISOL LLC

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Laboratory Demographics

CLIA Number: 10D2080453

Facility Name: AISOL LLC

Facility Address:
4875 PARK RIDGE BLVD SUITE 103
BOYNTON BEACH, FL
ZIP 33426
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Facility Phone Number: (561) 345-1086

Facility Type: INDEPENDENT

Certificate Type: Waiver

NPI Number: 1316319189

Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

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

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This page was last updated on: 5/11/2023