10D2096924 CLIA NUMBER - SIMPLE PATH RECOVERY LLC

Laboratory Demographics

  • CLIA Code: 10D2096924
  • Facility Name: SIMPLE PATH RECOVERY LLC
  • Facility Address: 2450 NORTH POWERLINE ROAD
    POMPANO BEACH, FL
    ZIP 33069
  • Facility Phone: 954 532-9201
  • Facility Type: Other - SUBSTANCE ABUSE TREATMENT
  • Facility Type: Waiver
  • Lab Director: JEFFREY BISHOP
  • NPI Number: 1659759116
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2096924
LAB Type Other - SUBSTANCE ABUSE TREATMENT
Facility Name SIMPLE PATH RECOVERY LLC
Street 2450 NORTH POWERLINE ROAD
City POMPANO BEACH
State FL
ZIP 33069
Phone 954 532-9201
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/4/2025
Certificate Expiration Date 6/3/2027
Facility Type Other - SUBSTANCE ABUSE TREATMENT
Lab Director JEFFREY BISHOP

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