10D2081692 CLIA NUMBER - GALT OCEAN REHAB LLC

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Laboratory Demographics

CLIA Number: 10D2081692

Facility Name: GALT OCEAN REHAB LLC

Facility Address:
4001 N OCEAN DR STE 305
LAUDERDALE BY THE SEA, FL
ZIP 33308
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Facility Phone Number: 954 383-8449

Facility Type: Other - INTENSIVE OUTPATIENT TREA

Certificate Type: Waiver

NPI Number: 1699129189

Taxonomy: 101YA0400X - Counselor

CLIA Record

Field Name	Field Value
CLIA Number	10D2081692
LAB Type	Other - INTENSIVE OUTPATIENT TREA
Facility Name	GALT OCEAN REHAB LLC
Street	4001 N OCEAN DR STE 305
City	LAUDERDALE BY THE SEA
State	FL
ZIP	33308
Phone	954 383-8449
CertificateType	4
CertificateEffectiveDate	7/29/2022
CertificateExpirationDate	7/28/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024