10D2093360 CLIA NUMBER - PRINCIPLES RECOVERY CENTER LLC

Laboratory Demographics

  • CLIA Code: 10D2093360
  • Facility Name: PRINCIPLES RECOVERY CENTER LLC
  • Facility Address: 4343 S SR 7 #101
    DAVIE, FL
    ZIP 33314
  • Facility Phone: 866 723-1535
  • Facility Type: Other - SUBSTANCE ABUSE
  • Facility Type: Waiver
  • Lab Director: DUSTIN JOHNSON
  • NPI Number: 1639566409
  • Taxonomy: 261QM0801X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2093360
LAB Type Other - SUBSTANCE ABUSE
Facility Name PRINCIPLES RECOVERY CENTER LLC
Street 4343 S SR 7 #101
City DAVIE
State FL
ZIP 33314
Phone 866 723-1535
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/25/2025
Certificate Expiration Date 3/24/2027
Facility Type Other - SUBSTANCE ABUSE
Lab Director DUSTIN JOHNSON

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