10D2131740 CLIA NUMBER - OLIVER-PYATT CENTERS, CASA AZUL

Laboratory Demographics

CLIA Number: 10D2131740

Facility Name: OLIVER-PYATT CENTERS, CASA AZUL

Facility Address:
7400 SW 59TH PLACE
MIAMI, FL
ZIP 33143
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Facility Phone Number: 305 663-1876

Facility Type: Other - RESIDENTIAL TREATMENT

Certificate Type: Waiver

NPI Number: 1619385002

Taxonomy: 320800000X - Community Based Residential Treatment Facility, Mental Illness
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

CLIA Record

Field Name	Field Value
CLIA Number	10D2131740
LAB Type	Other - RESIDENTIAL TREATMENT
Facility Name	OLIVER-PYATT CENTERS, CASA AZUL
Street	7400 SW 59TH PLACE
City	MIAMI
State	FL
ZIP	33143
Phone	305 663-1876
CertificateType	4
CertificateEffectiveDate	6/6/2023
CertificateExpirationDate	6/5/2025
FacilityType	Waiver

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