10D2110650 CLIA NUMBER - VIAMAR HEALTH INSTITUTES OF THE PALM BEACHES

Laboratory Demographics

CLIA Number: 10D2110650

Facility Name: VIAMAR HEALTH INSTITUTES OF THE PALM BEACHES

Facility Address:
560 VILLAGE BLVD STE 365
WEST PALM BEACH, FL
ZIP 33409
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Facility Phone Number: 928 232-9219

Facility Type: Other - MENTAL HEALTH OP CTR

Certificate Type: Waiver

NPI Number: 1467907162

Taxonomy: 261QM0850X - Clinic/Center
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

CLIA Record

Field Name	Field Value
CLIA Number	10D2110650
LAB Type	Other - MENTAL HEALTH OP CTR
Facility Name	VIAMAR HEALTH INSTITUTES OF THE PALM BEACHES
Street	560 VILLAGE BLVD STE 365
City	WEST PALM BEACH
State	FL
ZIP	33409
Phone	928 232-9219
CertificateType	4
CertificateEffectiveDate	3/22/2024
CertificateExpirationDate	3/21/2026
FacilityType	Waiver

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