10D2107943 CLIA NUMBER - NARCONON SUNCOAST

Laboratory Demographics

CLIA Number: 10D2107943

Facility Name: NARCONON SUNCOAST

Facility Address:
1390 SUNSET POINT ROAD
CLEARWATER, FL
ZIP 33755
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Facility Phone Number: 727 474-0706

Facility Type: Other - IP SUBSTANCE ABUSE

Certificate Type: Waiver

NPI Number: 1346560729

Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

CLIA Record

Field Name	Field Value
CLIA Number	10D2107943
LAB Type	Other - IP SUBSTANCE ABUSE
Facility Name	NARCONON SUNCOAST
Street	1390 SUNSET POINT ROAD
City	CLEARWATER
State	FL
ZIP	33755
Phone	727 474-0706
CertificateType	4
CertificateEffectiveDate	1/26/2024
CertificateExpirationDate	1/25/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024