10D2082859 CLIA NUMBER - SOLACE BEHAVIORAL HEALTH, LLC

Laboratory Demographics

  • CLIA Code: 10D2082859
  • Facility Name: SOLACE BEHAVIORAL HEALTH, LLC
  • Facility Address: 17222 HOSPITAL BLVD STE 226
    BROOKSVILLE, FL
    ZIP 34601
  • Facility Phone: 352 678-5550
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TANVEER A. CHAUDHRY
  • NPI Number: 1023609740
  • Taxonomy: 2084P0800X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 10D2082859
LAB Type Physician Office
Facility Name SOLACE BEHAVIORAL HEALTH, LLC
Street 17222 HOSPITAL BLVD STE 226
City BROOKSVILLE
State FL
ZIP 34601
Phone 352 678-5550
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/6/2024
Certificate Expiration Date 4/5/2026
Facility Type Physician Office
Lab Director TANVEER A. CHAUDHRY

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