10D2096594 CLIA NUMBER - DOUGLAS GARDENS COMMUNITY MENTAL HEALTH CENTER OF MIAMI BEACH INC

Laboratory Demographics

  • CLIA Code: 10D2096594
  • Facility Name: DOUGLAS GARDENS COMMUNITY MENTAL HEALTH CENTER OF MIAMI BEACH INC
  • Facility Address: 1150 NE 125TH ST
    NORTH MIAMI, FL
    ZIP 33161
  • Facility Phone: 305 403-0654
  • Facility Type: Other - MENTAL HEALTH CENTER
  • Facility Type: Waiver
  • Lab Director: DANIEL T. BRADY
  • NPI Number: 1114991544
  • Taxonomy: 261QM0801X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2096594
LAB Type Other - MENTAL HEALTH CENTER
Facility Name DOUGLAS GARDENS COMMUNITY MENTAL HEALTH CENTER OF MIAMI BEACH INC
Street 1150 NE 125TH ST
City NORTH MIAMI
State FL
ZIP 33161
Phone 305 403-0654
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/28/2025
Certificate Expiration Date 5/27/2027
Facility Type Other - MENTAL HEALTH CENTER
Lab Director DANIEL T. BRADY

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