10D2100636 CLIA NUMBER - CENTRAL FLORIDA DETOX , LLC

Laboratory Demographics

  • CLIA Code: 10D2100636
  • Facility Name: CENTRAL FLORIDA DETOX , LLC
  • Facility Address: 6000 LAKE ELLENOR DR
    ORLANDO, FL
    ZIP 32809
  • Facility Phone: 754 300-3120
  • Facility Type: Other - RESIDENTIAL TREATMENT FAC
  • Facility Type: Waiver
  • Lab Director: JENNYFFER MILLER
  • NPI Number: 1073909560
  • Taxonomy: 323P00000X - Psychiatric Residential Treatment Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D2100636
LAB Type Other - RESIDENTIAL TREATMENT FAC
Facility Name CENTRAL FLORIDA DETOX , LLC
Street 6000 LAKE ELLENOR DR
City ORLANDO
State FL
ZIP 32809
Phone 754 300-3120
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/19/2025
Certificate Expiration Date 8/18/2027
Facility Type Other - RESIDENTIAL TREATMENT FAC
Lab Director JENNYFFER MILLER

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