10D2122650 CLIA NUMBER - SECOND CHANCE DETOX LLC DBA PINES RECOVERY

Laboratory Demographics

  • CLIA Code: 10D2122650
  • Facility Name: SECOND CHANCE DETOX LLC DBA PINES RECOVERY
  • Facility Address: 1190 HIBISCUS DR
    PEMBROKE PINES, FL
    ZIP 33025
  • Facility Phone: 305 978-6038
  • Facility Type: Other - DRUG AND ALCOHOL ETOX
  • Facility Type: Waiver
  • Lab Director: TAMAR MARKOVICH
  • NPI Number: 1558806042
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D2122650
LAB Type Other - DRUG AND ALCOHOL ETOX
Facility Name SECOND CHANCE DETOX LLC DBA PINES RECOVERY
Street 1190 HIBISCUS DR
City PEMBROKE PINES
State FL
ZIP 33025
Phone 305 978-6038
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/2/2024
Certificate Expiration Date 12/1/2026
Facility Type Other - DRUG AND ALCOHOL ETOX
Lab Director TAMAR MARKOVICH

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