10D2108115 CLIA NUMBER - MINDS OVER MATTER BEHAVIORAL HEALTH CENTER OF BROWARD

Laboratory Demographics

  • CLIA Code: 10D2108115
  • Facility Name: MINDS OVER MATTER BEHAVIORAL HEALTH CENTER OF BROWARD
  • Facility Address: 1280 S POWERLINE RD STE 25 - 26
    POMPANO BEACH, FL
    ZIP 33069
  • Facility Phone: 954 316-1200
  • Facility Type: Other - MENTAL HEALTH CENTER
  • Facility Type: Waiver
  • Lab Director: SHALONDA L. COPELAND
  • NPI Number: 1447617493
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 10D2108115
LAB Type Other - MENTAL HEALTH CENTER
Facility Name MINDS OVER MATTER BEHAVIORAL HEALTH CENTER OF BROWARD
Street 1280 S POWERLINE RD STE 25 - 26
City POMPANO BEACH
State FL
ZIP 33069
Phone 954 316-1200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/28/2024
Certificate Expiration Date 1/27/2026
Facility Type Other - MENTAL HEALTH CENTER
Lab Director SHALONDA L. COPELAND

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